Jeaniacieuse Theodore
NPI 1285450155 · Family Nurse Practitioner · Port Saint Lucie, FL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeaniacieuse Theodore is a Family Nurse Practitioner provider in Port Saint Lucie, FL (NPI 1285450155).
Provider details
- NPI number
- 1285450155
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 11036138 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-11-25
- Last updated
- 2025-01-23
- Certified
- 2025-01-23
Frequently asked questions
- What is Jeaniacieuse Theodore's NPI number?
- Jeaniacieuse Theodore's National Provider Identifier (NPI) is 1285450155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeaniacieuse Theodore's specialty?
- Jeaniacieuse Theodore is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jeaniacieuse Theodore located?
- Jeaniacieuse Theodore's practice location on file with NPPES is 1801 Se Hillmoor Dr Ste C104c103, Port Saint Lucie, FL 34952-7553.
- What is Jeaniacieuse Theodore's phone number?
- The practice phone number listed in the NPPES registry for Jeaniacieuse Theodore is (772) 742-2111.
- Does Jeaniacieuse Theodore accept Medicare?
- Jeaniacieuse Theodore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeaniacieuse Theodore's NPI active?
- Yes — Jeaniacieuse Theodore's NPI (1285450155) is active in the NPPES registry as of the last update on 2025-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.