Active NPI
Jared Scott Levine, APRN
- Family Nurse Practitioner
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11011129
- Practice address
- 2005 Mizell Ave Ste 1600a
Winter Park, FL 32792-4126 - Phone
- (407) 646-7380
- Fax
- (407) 646-7381
- NPI assigned
- Feb 17, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11011129 | FL | Primary |
Addresses
Primary practice location
2005 Mizell Ave Ste 1600a
Winter Park, FL 32792-4126
Mailing address
2210 NW 167TH Ave Apt 201
Pembroke Pines, FL 33028-1877
Phone (386) 214-1723
Other practice location 1
2210 NW 167th Ave Apt 201
Pembroke Pines, FL 33028-1877
Phone (386) 214-1723
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1474 W Granada Blvd
Suite 455
Ormond Beach, FL 32174-8240
Phone (386) 231-4685
2005 Mizell Ave
Suite 1600a
Winter Park, FL 32792-4126
Phone (407) 646-7380
305 Memorial Medical Pkwy
Daytona Beach, FL 32117-5169
661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040
Hospital & facility affiliations
- Adventhealth Home Health
- Adventhealth Home Health
- Adventhealth Orlando
- Adventhealth Daytona Beach
- AdventHealth Palm Coast
- Adventhealth Palm Coast Parkway
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11011129 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert V Barbarite Mdpa | Current | Accepting new patients | |
| Adventhealth Primary Care Network Inc | Family | Current | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040
7541 N State Road 7
Parkland, FL 33073
Phone (954) 510-1500
2005 Mizell Ave
Ste 1600A
Winter Park, FL 32792
Phone (407) 646-7380
Interoperability endpoints
- jlevine3794343@adventhealth.direct-ci.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 and National Provider Directory roles.
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
- Internal Medicine Physician
- Parkland, FL
- NPI 1821021700
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Ormond Beach, FL
- NPI 1134161318
-
- Home Health Agency
- Altamonte Springs, FL
- NPI 1518419977
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1033702469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 NW 167TH AVE APT 201",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281877",
"telephone_number": "386-214-1723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 MIZELL AVE STE 1600A",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924126",
"telephone_number": "407-646-7380",
"fax_number": "407-646-7381"
}
],
"practiceLocations": [
{
"address_1": "2210 NW 167th Ave Apt 201",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330281877",
"country_code": "US",
"telephone_number": "386-214-1723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVINE",
"first_name": "JARED",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-17",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11011129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.