Individual provider Active NPI

Jenna Elizabeth Brown, ARNP

  • Family Nurse Practitioner
  • Lady Lake, FL
National Provider Identifier
1104292853
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9301863 Issued in FL
Practice address
8562 NE 138TH LN
Lady Lake, FL 32159
Phone
(352) 633-8681
Fax
(352) 633-8902
NPI assigned
Aug 18, 2015
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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 ARNP 9301863 FL Primary

Addresses

Primary practice location

8562 NE 138TH LN
Lady Lake, FL 32159

Mailing address

PO Box 2080
Lady Lake, FL 32158
Phone (352) 633-8681

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
I20151130000141 FL Practitioner - Nurse Practitioner 5597065425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Health First Internal Medicine Associates, LLCGroup PAC ID 7416124177, 3 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

11962 County Rd
101 Suite 104
The Villages, FL 32162-9336
Phone (352) 693-3378

8562 NE 138TH Lane
Lady Lake, FL 32159
Phone 35263386811

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9301863FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Internal Medicine Associates, LLC CurrentSince Nov 22, 2021 Accepting new patients
Absolute Health Internal Medicine and Pediatrics CurrentSince Aug 17, 2015 Accepting new patients

Locations

8562 NE 138th Ln
Lady Lake, FL 32159
Phone (352) 633-8681

7350 SW 60th Ave
Ste 2
Ocala, FL 34476
Phone (352) 854-5530

1400 N US Highway 441
Ste 438
The Villages, FL 32159
Phone (352) 267-4257

Organizations & group practices 2

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1104292853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2080",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32158",
            "telephone_number": "352-633-8681",
            "fax_number": "352-633-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8562 NE 138TH LN",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-633-8681",
            "fax_number": "352-633-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9301863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.