JACQUELINE USTACHE (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1255788832
Psychiatric/Mental Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for JACQUELINE USTACHE (APRN)
Sun City Center Plaza, Sun City Center, Hillsborough County, Florida, 33573, United States
SUN CITY CENTER, FL 335735334
Phone: (813) 820-2909
Fax: (813) 296-7339
Type: Mailing
15311 CORTEZ BLVD
BROOKSVILLE, FL 346136005
Phone: (352) 540-9335
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-07-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20200421000014 | I | Nurse Practitioner | TX | TBD |
| I20210920002226 | I | Nurse Practitioner | FL | TBD |
| I20240412004276 | I | Nurse Practitioner | ND | TBD |
| I20241114001049 | I | Nurse Practitioner | MT | TBD |
| I20250728000952 | I | Nurse Practitioner | AZ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33573)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MT | |
| Nurse Practitioner | MT | |
| Nurse Practitioner | MT | |
| Nurse Practitioner | MT | |
| Nurse Practitioner | MT | |
| Mental Health Counselor | MT |
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