Individual provider Active NPI

Jacqueline N Romero, DO

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1023041761
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8202 Issued in FL
Practice address
11181 Health Park Blvd
Suite 2260
Naples, FL 34110-5738
Phone
(239) 514-7315
Fax
(239) 514-7304
NPI assigned
Jul 8, 2006
Last updated
Sep 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8202 FL Primary

Addresses

Primary practice location

11181 Health Park Blvd
Suite 2260
Naples, FL 34110-5738

Mailing address

11181 Health Park Blvd
Ste 1170
Naples, FL 34110-5734
Phone (239) 514-7315

Other identifiers 1

IdentifierTypeStateIssuer
266107100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026000556 FL Practitioner - Family Practice 5799978425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11181 Health Park Blvd
Suite 1170
Naples, FL 34110-5734
Phone (239) 514-7315

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jacqueline Romero DO PA Family Medicine CurrentSince Apr 1, 2014 Accepting new patients

Locations

11181 Health Park Blvd
Ste 1170
Naples, FL 34110
Phone (239) 514-7315

11181 Health Park Blvd
Ste 2260
Naples, FL 34110
Phone (239) 514-7315

Interoperability endpoints

  • Direct secure messaging: jacqueline.romero.1@13917.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1023041761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11181 HEALTH PARK BLVD",
            "address_2": "STE 1170",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341105734",
            "telephone_number": "239-514-7315",
            "fax_number": "239-514-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11181 HEALTH PARK BLVD",
            "address_2": "SUITE 2260",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341105738",
            "telephone_number": "239-514-7315",
            "fax_number": "239-514-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "JACQUELINE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266107100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.