Individual provider Active NPI

Jenny Jean Gregory, ARNP

  • Family Nurse Practitioner
  • Middleburg, FL
National Provider Identifier
1063912392
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3398372 Issued in FL
Practice address
3571 County Road 218
Middleburg, FL 32068-7211
Phone
(904) 504-3034
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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 3398372 FL Primary

Addresses

Primary practice location

3571 County Road 218
Middleburg, FL 32068-7211

Mailing address

3571 County Road 218
Middleburg, FL 32068-7211
Phone (904) 504-3034

Other names 1

  • Jenny Jean Kerns Former name

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
I20181212003460 FL Practitioner - Nurse Practitioner 2567707987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Starke Family Medical Center IncGroup PAC ID 0143207704, 13 clinicians
Jacksonville Carenow Urgent Care LLCGroup PAC ID 6800158544, 44 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

175 N Lawrence Blvd
Keystone Heights, FL 32656-9351
Phone (352) 473-3199

1811 Blanding Blvd
Suite 101
Middleburg, FL 32068-4935
Phone (904) 406-0514

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3398372FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starke Family Medical Center Inc CurrentSince Jan 1, 2025 Accepting new patients
Hospital Physician Services of Florida PA CurrentSince Aug 1, 2018 Accepting new patients
Avecina Medical PA Past Accepting new patients

Locations

175 N Lawrence Blvd
Keystone Heights, FL 32656
Phone (352) 473-3199

100 S Lawrence Blvd
Keystone Hgts, FL 32656
Phone (352) 473-9373

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

345 W Madison St
Starke, FL 32091
Phone (904) 964-5455

Interoperability endpoints

  • Direct secure messaging: jenny.gregory.1@16275.direct.athenahealth.com

Organizations & group practices 5

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 3

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": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1063912392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3571 COUNTY ROAD 218",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320687211",
            "telephone_number": "904-504-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3571 COUNTY ROAD 218",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320687211",
            "telephone_number": "904-504-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "JENNY",
        "middle_name": "JEAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3398372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "KERNS",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middleburg, FL

Sources for this page

Verify at the official NPI Registry.