Individual provider Active NPI

Jennifer Hines

  • Family Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1043981418
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11014857 Issued in FL
Practice address
4011 NW 43Rd St Ste B
Gainesville, FL 32606-4609
Phone
(866) 253-6681
NPI assigned
Sep 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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 APRN11014857 FL Primary

Addresses

Primary practice location

4011 NW 43Rd St Ste B
Gainesville, FL 32606-4609

Mailing address

16649 NW 166TH Dr
Alachua, FL 32615-4996
Phone (352) 262-2510

Other identifiers 1

IdentifierTypeStateIssuer
3522622510MedicaidFL

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
I20211018002513 FL Practitioner - Nurse Practitioner 5698173979 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Rehab Specialists, PLLCGroup PAC ID 5890155279, 82 clinicians

Practice addresses (Care Compare)

901 NW 8TH Ave
D6 Florida Rehab Specialists
Gainesville, FL 32601-3832
Phone (352) 234-3050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Lee Harrell III MD PC CurrentSince Jul 1, 2023 Accepting new patients
Alliance Family Physicians, PA CurrentSince Aug 6, 2025 Accepting new patients
Florida Rehab Specialists, PLLC Hospice and Palliative Medicine CurrentSince Jun 21, 2024 Accepting new patients
Islf-Deerwood Place-Jacksonville LLC Past Accepting new patients

Locations (25 of 111)

1130 NW 15th St
Boca Raton, FL 33486
Phone (561) 394-6282

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

1445 Howell Ave
Brooksville, FL 34601
Phone (352) 799-1451

10845 W Gem St
Crystal River, FL 34428
Phone (352) 794-7601

22900 Lyden Dr
Estero, FL 33928
Phone (239) 221-6120

1000 SW 16th Ave
Gainesville, FL 32601
Phone (352) 376-2461

6700 NW 10th Pl
Gainesville, FL 32605
Phone (352) 240-6402

817 NW 56th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-7771

1415 Fort Clarke Blvd
Gainesville, FL 32606
Phone (352) 325-3081

4842 SW Archer Rd
Gainesville, FL 32608
Phone (352) 367-9700

8000 NW 27th Blvd
Gainesville, FL 32606
Phone (352) 373-4032

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

3250 SW 41st Pl
Gainesville, FL 32608
Phone (352) 378-1558

4011 NW 43rd St
Ste B
Gainesville, FL 32606
Phone (352) 283-0605

817 NW 56th Ter
Ste C
Gainesville, FL 32605

4000 SW 20th Ave
Gainesville, FL 32607
Phone (352) 377-1981

817 NW 56th Ter
Gainesville, FL 32605

901 NW 8th Ave
Ste D6
Gainesville, FL 32601

227 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 331-0601

4607 NW 53rd Ave
Gainesville, FL 32653
Phone (352) 376-5151

124 W Norvell Bryant Hwy
Hernando, FL 34442
Phone (352) 249-3100

23301 NW 186th Ave
High Springs, FL 32643
Phone (386) 454-0801

8985 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 697-0705

1894 South Patrick Dr
Indian Harbour Beach, FL 32937
Phone (321) 777-8840

1745 Forest Dr
Inverness, FL 34453
Phone (352) 726-5466

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1043981418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16649 NW 166TH DR",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326154996",
            "telephone_number": "352-262-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 NW 43RD ST STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064609",
            "telephone_number": "866-253-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3522622510",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.