Individual provider Active NPI

Jennifer Lynn Horkan, PA

  • Physician Assistant
  • Sun City Center, FL
National Provider Identifier
1023345154
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-9105293 Issued in FL
Practice address
4031 Upper Creek Dr
Sun City Center, FL 33573-6819
Phone
(813) 633-2733
NPI assigned
Nov 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-9105293 FL Primary

Addresses

Primary practice location

4031 Upper Creek Dr
Sun City Center, FL 33573-6819

Mailing address

4031 Upper Creek Dr
Sun City Center, FL 33573-6819
Phone (813) 633-2733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160603001368 WI Practitioner - Physician Assistant 7810032802 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sauk Prairie Healthcare IncGroup PAC ID 8224948054, 122 clinicians
SSM Health Care of Wisconsin IncGroup PAC ID 8527977867, 19 clinicians

Practice addresses (Care Compare)

260 26TH St
Prairie Du Sac, WI 53578-2203
Phone (608) 643-7574

707 14TH St
Baraboo, WI 53913-1539
Phone (608) 356-1400

Hospital & facility affiliations

  • SSM Health St Clare Hospital - Baraboo Hospital, Baraboo, WI, CCN 520057
  • Sauk Prairie Hospital Hospital, Prairie Du Sac, WI, CCN 520095
  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-9105293FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sauk Prairie Healthcare, Inc. CurrentSince Mar 25, 2024 Accepting new patients
Sauk Prairie Healthcare Inc Current Accepting new patients
SSM Health Care of Wisconsin Inc Physician Assistant CurrentSince May 23, 2016 Accepting new patients
SSM Health Care of Wisconsin, Inc. CurrentSince May 23, 2016 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince Oct 15, 2016 Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince Oct 15, 2016 Accepting new patients
Florida Health Sciences Center Inc Past Accepting new patients

Locations

7153 Solutions Ctr
Chicago, IL 60677

707 14th St
Baraboo, WI 53913
Phone (608) 356-1400

250 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2431

260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471

1900 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6477

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jhorkan260558@direct-ehr-ssmhc.com

Organizations & group practices 8

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

Hospital & facility affiliations 3

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": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1023345154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 UPPER CREEK DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736819",
            "telephone_number": "813-633-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 UPPER CREEK DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736819",
            "telephone_number": "813-633-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORKAN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-10",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA-9105293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

Verify at the official NPI Registry.