MRS. SHUNTA TANESHEVA JACKSON-SMITH (APRN) – Family Nurse Practitioner, NPI 1306128533

MRS. SHUNTA TANESHEVA JACKSON-SMITH (APRN) is a healthcare provider. based in Jupiter, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN9196308 (FL). The NPI Number for MRS. SHUNTA TANESHEVA JACKSON-SMITH (APRN) is 1306128533

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHUNTA TANESHEVA JACKSON-SMITH (APRN)
NPI
1306128533
Phone
(561) 743-9077
Address
210 JUPITER LAKES BLVD STE 105
Enumeration Date
14 September 2011
Last Update Date
14 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5617520100
Graduation Year
2011 (15 years ago)
PAC ID
4486816329
Group Practice PAC ID
5496802233
Professional Enrollment ID
I20120510000159
Address ID
FL334357745BO2923XHWYX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MRS. SHUNTA TANESHEVA JACKSON-SMITH (APRN)

  • 210 JUPITER LAKES BLVD STE 105

    JUPITER, FL 334587187

    Phone: (561) 743-9077

    Type: Mailing

  • 2923 S FEDERAL HWY STE 100

    BOYNTON BEACH, FL 334357751

    Phone: (561) 752-0100

    Fax: (561) 740-3001

    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: 2012-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120510000159INurse PractitionerFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes637201$0
99239Hospital discharge day management, more than 30 minutes248225$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes210194$0
99235Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes2625$0
View full utilization report →

Insurance plans in this area (ZIP 33458)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496802233View full group profile
NameSpecialtyState
Nurse PractitionerFL
Cardiovascular Disease (Cardiology), Internal MedicineFL
Cardiovascular Disease (Cardiology)FL
Nurse PractitionerFL
Physician AssistantFL

Reviews

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Frequently asked questions

What is MRS. SHUNTA TANESHEVA JACKSON-SMITH (APRN)'s NPI number?
MRS. SHUNTA TANESHEVA JACKSON-SMITH (APRN)'s NPI is 1306128533 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MRS. SHUNTA TANESHEVA JACKSON-SMITH (APRN)?
You should see MRS. SHUNTA TANESHEVA JACKSON-SMITH (APRN) as active in CMS-hosted NPPES data.
How would a patient describe MRS. SHUNTA TANESHEVA JACKSON-SMITH (APRN)'s focus?
For MRS. SHUNTA TANESHEVA JACKSON-SMITH (APRN), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. SHUNTA TANESHEVA JACKSON-SMITH (APRN) located near Jupiter?
MRS. SHUNTA TANESHEVA JACKSON-SMITH (APRN) currently maps to Jupiter, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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