MS. YINKA SHUNTINA JACKSON (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104470038
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MS. YINKA SHUNTINA JACKSON (APRN)
11555 Heron Bay Blvd Ste 200
Coral Springs, FL 330763362
Phone: (954) 338-4303
Fax: (954) 350-0909
Type: Location
3440 Toringdon Way Ste 205
Charlotte, NC 282773191
Phone: (980) 375-6657
Fax: (980) 375-6658
Type: Location
5640, Douglas Street, Playland Estates, Hollywood, Broward County, Florida, 33021, United States
HOLLYWOOD, FL 330212741
Phone: (954) 290-3082
Type: Mailing
2054 Vista Pkwy Ste 400
West Palm Beach, FL 334116742
Phone: (561) 216-0006
Fax: (954) 350-0909
Type: Location
6303 Blue Lagoon Dr Ste 400
Miami, FL 331266040
Phone: (786) 809-3606
Fax: (786) 809-3616
Type: Location
8601 Six Forks Rd Ste 412
Raleigh, NC 276155276
Phone: (984) 283-0333
Fax: (984) 283-0433
Type: Location
8270 Woodland Center Blvd
Tampa, FL 336142401
Phone: (656) 233-0010
Fax: (656) 233-0011
Type: Location
2255 Glades Rd Ste 324A
Boca Raton, FL 334318571
Phone: (561) 510-9190
Fax: (954) 350-0909
Type: Location
7369 SHERIDAN ST STE 203
HOLLYWOOD, FL 330242776
Phone: (954) 983-5330
Fax: (954) 983-5086
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $1,564.
Total Amount is formed as General ($1,564) + Research ($0) + Ownership ($0) = $1,564.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($662).
Total Amount
$1,564
General + Research + Ownership
Payments
45
Total payment records
General Amount
$1,564
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-12-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210115000343 | I | Nurse Practitioner | FL | TBD |
| I20241206001736 | I | Nurse Practitioner | NC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 93 | 21 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 74 | 18 | $0 |
Insurance plans in this area (ZIP 33076)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Mental Health Counselor | FL | |
| Mental Health Counselor | FL | |
| Clinical Social Worker | FL | |
| Clinical Social Worker | FL | |
| Mental Health Counselor | FL | |
| Nurse Practitioner | FL | |
| Mental Health Counselor | FL |
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