Petrija Jen, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS7864 Issued in FL

Practice address

11190 Health Park Blvd
Naples, FL 34110-5729

Phone

(239) 513-7000

NPI assigned

Sep 20, 2006

Last updated

Apr 9, 2020By the provider in NPPES

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Rowan University School of Osteopathic Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Florida Emergency Management LLCGroup PAC ID 0648314393, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Naples Community Hospital Hospital, Naples, FL, CCN 100018

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Southwest Florida Emergency Management LLC

  • Emergency Medicine Physician
  • Naples, FL
  • NPI 1780911206
  Medicare reassignment Care Compare group NPD
• Thse - Marco Urgent Care LLC

  • Internal Medicine Physician
  • Marco Island, FL
  • NPI 1801125331
  Medicare reassignment NPD
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Punta Gorda, FL
  • NPI 1376592063
  NPD (past)
• Florida Em-I Medical Services PA

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700130432
  NPD (past)
• Florida Em-I Medical Services, PA

  • Nurse Practitioner
  • Blountstown, FL
  • NPI 1306198502
  NPD (past)
• Gulf Coast Emergency Physicians PA

  • Emergency Medicine Physician
  • Port Charlotte, FL
  • NPI 1518989318
  NPD (past)
• Oceanwind ER SVCS Partnership LLC

  • Emergency Medicine Physician
  • Punta Gorda, FL
  • NPI 1255389656
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Naples Community Hospital Inc

  dba NCH Healthcare System Inc

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1720085137
  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1124125471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SANDY PINES DR",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339829640",
            "telephone_number": "941-505-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 HEALTH PARK BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341105729",
            "telephone_number": "239-513-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEN",
        "first_name": "PETRIJA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS7864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey a Heitmann MD PA (A Woman's Place)
• Jeffrey E. Fabacher
• Jeffrey J. McCartney , M.D.PA
• Jeffrey L Zimm MD PA (All Saints Eye Center)
• Jeffrey M Greenberg MD Medical Services Inc
• Maria Ann Jencura-Fisher, D.C.
• Carrie Jenkins, LMHC
• Kalie M Jenkins
• Lori Jenkins, LCSW
• Judy Ann Jenner, M.S.

• Emergency Medicine Physician in Naples, FL
• Providers in Naples, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.