Jacqueline Ustache, APRN, PMHNP-BC - Medicare Nurse Practitioner in Trinity, FL

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Jacqueline Ustache, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Trinity, Florida. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Indian Family Health Clinic Of Great Falls Inc, Grow Healthcare Group Pa and her current practice location is 7916 Evolutions Way Ste 102, Trinity, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 910-5990.

Jacqueline Ustache is licensed to practice in Montana (license number APRN-175606) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255788832.

Contact Information

Jacqueline Ustache, APRN, PMHNP-BC
7916 Evolutions Way Ste 102,
Trinity, FL 34655-9900
(727) 910-5990
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Ustache
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location7916 Evolutions Way Ste 102, Trinity, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline Ustache graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1255788832
  • Provider Enumeration Date: 05/24/2016
  • Last Update Date: 06/11/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8729418405
  • Enrollment ID: I20200421000014

Medical Identifiers

Medical identifiers for Jacqueline Ustache such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255788832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN9276314 (Florida)Secondary
163WP0809XRegistered Nurse - Psychiatric/mental Health, Adult APRN9276314 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN-175606 (Montana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Indian Family Health Clinic Of Great Falls Inc40825227198
Grow Healthcare Group Pa3476961368994

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacqueline Ustache allows following entities to bill medicare on her behalf.
Entity NameWinslow Indian Health Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184729493
PECOS PAC ID: 4284548991
Enrollment ID: O20031117000864
Entity NameThe Fort Defiance Indian Hospital Board, Incorporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477876639
PECOS PAC ID: 0941336697
Enrollment ID: O20100429001153
Entity NameIndian Family Health Clinic Of Great Falls Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861616674
PECOS PAC ID: 4082522719
Enrollment ID: O20131031000725

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Ustache is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Ustache, APRN, PMHNP-BC
15311 Cortez Blvd,
Brooksville, FL 34613-6005

Ph: (352) 540-9335		Jacqueline Ustache, APRN, PMHNP-BC
7916 Evolutions Way Ste 102,
Trinity, FL 34655-9900

Ph: (727) 910-5990

Reviews and Comments


Nurse Practitioner Nurses in Trinity, FL

Natalie Eudora Bastien, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2044 Trinity Oaks Blvd Ste 220, Trinity, FL 34655
Phone: 727-645-6900    Fax: 727-372-8989
Jerrica Sawyer, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3539 Little Rd, Trinity, FL 34655
Phone: 727-846-9419    Fax: 727-816-8707
Rachel Kristen Morin,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10710 State Road 54 Ste 108, Trinity, FL 34655
Phone: 727-376-4040    
Ms. Patricia L Rogers, ARNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9320 State Road 54, Trinity, FL 34655
Phone: 727-842-8411    Fax: 877-917-2336
Phuong Quyen Thi Dinh-bailey, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1818 Short Branch Dr Ste 102, Trinity, FL 34655
Phone: 727-332-0028    
Kimberley Kay Drury, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3543 Little Rd, Trinity, FL 34655
Phone: 727-848-6400    
Corie L Bailey,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1815 Health Care Dr Ste B, Trinity, FL 34655
Phone: 727-312-4445    Fax: 727-312-4643

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.