Jessica K White, APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9354800 Issued in FL

Practice address

1035 Primera Blvd
Lake Mary, FL 32746-2193

Phone

(407) 333-3040

NPI assigned

Oct 12, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Dermatology and Cosmetic Services PAGroup PAC ID 3274769153, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.61 of 100Reported as group

Quality

69.21

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Skin Dermatology and Cosmetic Services, P.a.

  • Specialist
  • Orange City, FL
  • NPI 1205270824
  Medicare reassignment Care Compare group NPD
• Anchor Injury and Integrative Health, LLC

  • Integrative Medicine Physician
  • New Smyrna Beach, FL
  • NPI 1023886850
  Medicare reassignment NPD
• Mid-Florida Dermatology Associates P.a.

  • Dermatology Physician
  • Orlando, FL
  • NPI 1619018561
  Medicare reassignment NPD
• Edward J. Gross, M.D., P.L.

  • Dermatology Physician
  • Lake Mary, FL
  • NPI 1801219944
  NPD
• New Smyrna Beach Chiropractic Clinic PLC

  • Chiropractor
  • New Smyrna Beach, FL
  • NPI 1770785412
  NPD
• Skin Dermatology and Cosmetic Services, P.a.

  • Dermatology Physician
  • Palm Coast, FL
  • NPI 1003582123
  NPD
• Edward J. Gross M.D., PL

  • Plastic and Reconstructive Surgery Physician
  • Lake Mary, FL
  • NPI 1609948330
  NPD (past)

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1104391465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 CORDGRASS BEND LN",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321283000",
            "telephone_number": "386-506-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PRIMERA BLVD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462193",
            "telephone_number": "407-333-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JESSICA",
        "middle_name": "K",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9354800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Westgard, MOT
• Cassidy Marie Wethington
• Jenna Marie Whelan
• Richard P Whetzel-Schill, A.R.N.P.-C-BC
• Deonna White, RBT
• Kaitlyn Elizabeth White, SLPA
• Nicholas A. White, DMD
• Whiting Neurosurgery
• Keyana Mildred Whitner
• Michael Whittington

• Family Nurse Practitioner in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.