Jenna Elizabeth Brown, ARNP
Individual provider Active NPI Family Nurse Practitioner · Lady Lake, FL
NPI 1104292853 · NPPES record last updated Jan 25, 2022
Key facts
- NPI
- 1104292853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP 9301863 (FL)
- Practice address
- 8562 NE 138TH LN
Lady Lake, FL 32159 - Phone
- (352) 633-8681
- Fax
- (352) 633-8902
- NPI assigned
- Aug 18, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 23
Medicare Care Compare profile
- 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 Inc
Health First Internal Medicine Associates, LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151130000141 | FL | Practitioner - Nurse Practitioner | 5597065425 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9301863 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Internal Medicine Associates, LLC | Current |
Accepting new patients | |
| Absolute Health Internal Medicine and Pediatrics | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 9301863 | FL | Yes |
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
Other providers in Lady Lake, FL
- Susan Lyn Bowman
- Luther Quitoriano Braganza
- Dianna Bridges
- Tara Lynne Briggs
- Keri Kristin Brooks
- Patricia Ann Brown
- Melissa Buchkovich
- Keondra V Burch
- Burke Collins Therapy, Inc
- John Daniel Burress
All providers in Lady Lake, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.