Individual provider Active NPI

Jessica Concepcion, APRN

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1073210977
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11024338 Issued in FL
Practice address
2929 Lakeland Highlands Rd Ste A2
Lakeland, FL 33803-4315
Phone
(863) 606-6253
Fax
(863) 606-6257
NPI assigned
Feb 10, 2023
Last updated
Feb 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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 APRN11024338 FL Primary

Addresses

Primary practice location

2929 Lakeland Highlands Rd Ste A2
Lakeland, FL 33803-4315

Mailing address

PO Box 25487
Sarasota, FL 34277-2487

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
I20230328000874 FL Practitioner - Nurse Practitioner 6103290440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Value Healthcare LLCGroup PAC ID 2668772419, 56 clinicians

Practice addresses (Care Compare)

2382 Griffin Rd
Lakeland, FL 33810-6760
Phone (863) 225-2627

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Best Value Healthcare LLC CurrentSince Feb 20, 2023 Accepting new patients
Best Value Healthcare LLC CurrentSince Feb 20, 2023 Accepting new patients
Best Value Healthcare LLC PastSince Jun 22, 2021 Accepting new patients

Locations

2382 Griffin Rd
Lakeland, FL 33810
Phone (863) 225-2627

2929 Lakeland Highlands Rd
Ste A2
Lakeland, FL 33803
Phone (863) 606-6253

3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505

525 Pine Island Rd
Ste A
North Fort Myers, FL 33903
Phone (239) 984-2399

1501 Presidential Way
Ste 12
West Palm Beach, FL 33401
Phone (407) 471-9484

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1073210977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 LAKELAND HIGHLANDS RD STE A2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034315",
            "telephone_number": "863-606-6253",
            "fax_number": "863-606-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.