SHANICE JASMIN (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1760346977

SHANICE JASMIN (PMHNP) is a healthcare provider. based in Melbourne, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. APRN11042245 (FL). The NPI Number for SHANICE JASMIN (PMHNP) is 1760346977

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
SHANICE JASMIN (PMHNP)
NPI
1760346977
Phone
(877) 779-2429
Address
2015 GRANT PL STE 1
Enumeration Date
11 December 2025
Last Update Date
20 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8777792429
Graduation Year
2025 (1 year ago)
PAC ID
2567958895
Group Practice PAC ID
5193021848
Professional Enrollment ID
I20260106003625
Address ID
FL344748443OC3200XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:0State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for SHANICE JASMIN (PMHNP)

  • 2015 GRANT PL STE 1

    MELBOURNE, FL 329015600

    Phone: (877) 779-2429

    Type: Mailing

  • 3200 SW 34TH AVE STE 701

    OCALA, FL 344748443

    Phone: (877) 779-2429

    Type: Location

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: 2026-01-06

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
I20260106003625INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32901)

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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: 5193021848View full group profile
NameSpecialtyState
Nurse PractitionerOH
Clinical Social WorkerFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Clinical Social WorkerFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How is SHANICE JASMIN (PMHNP) identified in CMS data?
CMS-hosted NPPES data lists SHANICE JASMIN (PMHNP) with NPI 1760346977.
Is SHANICE JASMIN (PMHNP) still practicing?
SHANICE JASMIN (PMHNP) is currently listed as active in the public NPI registry.
What taxonomy line describes SHANICE JASMIN (PMHNP)?
For research purposes, treat SHANICE JASMIN (PMHNP) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does SHANICE JASMIN (PMHNP) list a practice location?
Patients near Melbourne, Florida may find SHANICE JASMIN (PMHNP) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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