Individual provider Active NPI

Jenelle Prefontaine, APRN

  • Family Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1033982160
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11029488 Issued in FL
Practice address
10115 Forest Hill Blvd Ste 200
Wellington, FL 33414-3104
Phone
(561) 800-2128
Fax
(561) 209-2456
NPI assigned
Oct 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 11029488 FL Primary

Addresses

Primary practice location

10115 Forest Hill Blvd Ste 200
Wellington, FL 33414-3104

Mailing address

7593 W Boynton Beach Blvd Ste 220
Boynton Beach, FL 33437-6162
Phone (561) 649-7000

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
I20231220003799 FL Practitioner - Nurse Practitioner 8820448509 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

10075 S Jog Rd
Boynton Beach, FL 33437-3537

10115 Forest Hill Blvd
Suite 200
Wellington, FL 33414-3104
Phone (561) 795-0016

140 JFK Dr
Atlantis, FL 33462-6608
Phone (561) 968-6767

240 N Wickham Rd
Suite 300
Melbourne, FL 32935-8661
Phone (321) 752-1588

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11029488FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RHG of Florida PA CurrentSince Nov 1, 2025 Accepting new patients
Medical Specialists of the Palm Beaches Inc CurrentSince Jan 8, 2024 Accepting new patients
Medical Specialists of the Palm Beaches Inc CurrentSince Jan 8, 2024 Accepting new patients

Locations

7593 W Boynton Beach Blvd
Ste 220
Boynton Beach, FL 33437
Phone (561) 649-7000

240 N Wickham Rd
Ste 304
Melbourne, FL 32935
Phone (321) 308-5050

240 N Wickham Rd
Ste 300
Melbourne, FL 32935
Phone (321) 308-5050

10115 Forest Hill Blvd
Ste 200
Wellington, FL 33414
Phone (561) 793-5155

Interoperability endpoints

  • Direct secure messaging: jenelle.prefontaine.1@15594.direct.athenahealth.com
  • Direct secure messaging: jenelle.prefontaine.1@11933.direct.athenahealth.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.

Hospital & facility affiliations 2

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": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1033982160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7593 W BOYNTON BEACH BLVD STE 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376162",
            "telephone_number": "561-649-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 FOREST HILL BLVD STE 200",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143104",
            "telephone_number": "561-800-2128",
            "fax_number": "561-209-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREFONTAINE",
        "first_name": "JENELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.