Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sandina Samantha Jackson, APRN

Individual provider Nurse Practitioner · NPI 1225623408

Sandina Samantha Jackson, APRN is a Nurse Practitioner in Pembroke Pines, Florida. Qualified in 2020, 6 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, Georgia, North Carolina and Pennsylvania and 1 more.

Years since qualifying
6
Licensed in
FL, GA, NC, PA, SC
In the registry since
2021
Specialties on file
5
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

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Practice location Address checks out

880 SW 145th Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone: (866) 849-0692
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 36th St, Vero Beach, FL 32960-4862 — (772) 567-4311

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11010356 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 5023920 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence GAA-NP004965 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence 31804 (SC)
Nurse Practitioner Taxonomy 363L00000X · Licence SP035423 (PA)

Record details

NPI number1225623408
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMarch 9, 2021
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients85
Services billed 392 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $345 3 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Conviva Medical Center Management, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 562 clinicians in the practice; 12 are shown here.

Other providers in Pembroke Pines