Individual provider Active NPI

Jennifer Wengler

  • Pediatric Nurse Practitioner
  • Palatka, FL
National Provider Identifier
1033091939
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11035831 Issued in FL
Practice address
1301 Reid St
Palatka, FL 32177-3237
Phone
(386) 328-5437
NPI assigned
Jul 22, 2025
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN11035831 FL Primary

Addresses

Primary practice location

1301 Reid St
Palatka, FL 32177-3237

Mailing address

3012 Rustic Deer Way
Green Cove Springs, FL 32043-8680

Other practice location 1

397 Palm Coast Pkwy SW Unit 303
Palm Coast, FL 32137-4776
Phone (386) 447-7337

Other names 1

  • Jennifer Paffmann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11035831FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Pediatrics,PA CurrentSince Oct 12, 2025 Accepting new patients
Acute Care Pediatrics of Palm Coast, PA Past Accepting new patients

Locations

1859 SW Newland Way
Lake City, FL 32025
Phone (386) 758-0003

1301 Reid St
Palatka, FL 32177
Phone (386) 325-1025

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBBBAA/Endpoint/EBBBAA
  • Direct secure messaging: jennifer.paffmann.p1@direct.nfpeds.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1033091939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 RUSTIC DEER WAY",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320438680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 REID ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773237",
            "telephone_number": "386-328-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "397 Palm Coast Pkwy SW Unit 303",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321374776",
            "country_code": "US",
            "telephone_number": "386-447-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENGLER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11035831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PAFFMANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.