Treasure Coast Pediatrics and Family Comprehensive Care
NPI 1861390205ActiveOrganization· Nurse Practitioner, Primary Care· Port Saint Lucie, FL
Nurse Practitioner, Primary Care in Port Saint Lucie, Florida, registered in NPPES in October 2026. The authorized official on file is Jacqueline Ebony Ambush, DNP, Owner/Operator.
Overview
| NPI | 1861390205 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 27, 2026 |
| Last updated in NPPES | Oct 27, 2026 |
| Certified by provider | Oct 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
| Pediatrics, Adolescent Medicine | 2080A0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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