Individual provider Active NPI

Jared Scott Levine, APRN

  • Family Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1033702469
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11011129 Issued in FL
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

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916002313 FL Practitioner - Nurse Practitioner 5092112151 Reassigns benefits to 2 organizations

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
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

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 Home health agency, Altamonte Springs, FL, CCN 107211
  • Adventhealth Home Health Home health agency, Ormond Beach, FL, CCN 107408
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11011129FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert V Barbarite Mdpa CurrentSince Jul 7, 2021 Accepting new patients
Adventhealth Primary Care Network Inc Family CurrentSince Nov 4, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.