Active NPI
Jannelle Mendiola Bautista, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11034875
- Practice address
- 515 S Kings Ave Ste 3100
Brandon, FL 33511-5921 - Phone
- (813) 681-9171
- Fax
- (877) 409-2423
- NPI assigned
- Dec 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11034875 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11034875 | FL | Primary |
Addresses
Primary practice location
515 S Kings Ave Ste 3100
Brandon, FL 33511-5921
Mailing address
PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033
Other practice location 1
2452 4th Street North
St. Petersburg, FL 33704
Phone (727) 308-5020
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
515 S Kings Ave
Suite 3100
Brandon, FL 33511-5921
Phone (813) 681-9171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11034875 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens' Health Hospitalists, LLC | Current | Accepting new patients | |
| Ivx Health of Florida, P.a. | Current | Accepting new patients | |
| Women's Care Florida LLC | Nurse Practitioner | Current | Accepting new patients |
| Infusion Express of Kansas LLC | Past | Accepting new patients |
Locations
293 E Altamonte Dr
Ste 1201
Altamonte Springs, FL 32701
Phone (407) 392-3171
515 S Kings Ave
Brandon, FL 33511
Phone (813) 681-9171
515 S Kings Ave
Ste 3100
Brandon, FL 33511
Phone (813) 681-9171
13123 Kings Lake Dr
Unit 102
Gibsonton, FL 33534
Phone (813) 574-1350
5470 Lithia Pinecrest Rd
Lithia, FL 33547
Phone (813) 675-9181
2108 Thonotosassa Rd
Plant City, FL 33563
Phone (813) 752-4103
6606 Simmons Loop
Ste 200
Riverview, FL 33578
6606 Simmons Loop
Riverview, FL 33578
Phone (813) 574-1350
5002 W Lemon St
Tampa, FL 33609
10007 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 331-0513
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
Interoperability endpoints
- jannelle.bautista@wcfnf.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
Nurse Practitioner
-
- Infusion Therapy Clinic/Center
- Altamonte Springs, FL
- NPI 1821622432
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
-
dba IVX Health
- Infusion Therapy Clinic/Center
- Overland Park, KS
- NPI 1922554732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1033927157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748817",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748817",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 S KINGS AVE STE 3100",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115921",
"telephone_number": "813-681-9171",
"fax_number": "877-409-2423"
}
],
"practiceLocations": [
{
"address_1": "2452 4th Street North",
"address_purpose": "LOCATION",
"city": "St. Petersburg",
"state": "FL",
"postal_code": "33704",
"country_code": "US",
"telephone_number": "727-308-5020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUTISTA",
"first_name": "JANNELLE",
"middle_name": "MENDIOLA",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-20",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11034875",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11034875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.