Active NPI
Jennifer L. Wicks, APRN
- Acute Care Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- ARNP9343457
- Practice address
- 2 Tampa General Cir
STC 5TH Floor
Tampa, FL 33606-3603 - Phone
- (813) 259-0600
- NPI assigned
- Jul 9, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | ARNP9343457 | FL | Primary |
Addresses
Primary practice location
2 Tampa General Cir
STC 5TH Floor
Tampa, FL 33606-3603
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5YDQP | Other | FL | BLUE CROSS BLUE SHIELD |
| 019798900 | Medicaid | FL |
Other names 1
- Jennifer L. Enscoe
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwicks65236@direct.tgh.org |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9343457 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Service Association Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Past | Accepting new patients |
Locations
13330 Usf Laurel Dr
Fl 3
Tampa, FL 33612
Phone (813) 396-9422
2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-8700
2 Tampa General Cir
Fl 5
Tampa, FL 33606
Phone (813) 259-0600
3500 E Fletcher Ave
Ste 100
Tampa, FL 33613
Phone (813) 282-8520
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
13330 Usf Laurel Dr
Tampa, FL 33612
Phone (813) 396-9478
Networks
- Freedom Health HMO Network
Interoperability endpoints
- jwicks127363@direct.tgh.org
- jwicks65236@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1073511481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TAMPA GENERAL CIR",
"address_2": "STC 5TH FLOOR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063603",
"telephone_number": "813-259-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKS",
"first_name": "JENNIFER",
"middle_name": "L.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-09",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "ARNP9343457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5YDQP",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019798900",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwicks65236@direct.tgh.org",
"affiliation": "N",
"address_1": "2 Tampa General Cir",
"address_2": "STC 5th Floor",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "ENSCOE",
"middle_name": "L.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.