Individual ProviderNereida JaimeNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address10925 State Road 54, New Port Richey, FL 34655-2277(866) 389-2727(727) 372-9030PECOS EnrollmentBased on the most recent information from CMS, provider Nereida Jaime is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:24 AM.Profile DetailsProvider ID1164979746Provider TypeIndividualFull NameJaime, NereidaCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date9/1/2016Last Updated8/12/2025Contact InformationPractice LocationPractice Address10925 State Road 54, New Port Richey, FL 34655-2277Phone(866) 389-2727FaxUnlisted FaxMailing LocationMailing Address10925 State Road 54, New Port Richey, FL 34655-2277Phone(727) 372-9030FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9494444FloridaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN9494444FloridaProvider IdentifiersIDDescriptionIssuerIDPENDINGDescriptionMedicaidIssuerUnlistedIllinois