Individual provider Active NPI

Jenna Minni, ARNP, FNP-BC

  • Primary Care Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1134582711
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP9407892 Issued in FL
Practice address
875 Military TRL Ste 200
Jupiter, FL 33458
Phone
(561) 746-2110
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9407892 FL
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X ARNP9407892 FL Primary

Addresses

Primary practice location

875 Military TRL Ste 200
Jupiter, FL 33458

Mailing address

3384 W Community Dr
Jupiter, FL 33458-8239
Phone (772) 380-3297

Other practice location 1

4500 W Midway Rd
Fort Pierce, FL 34981-4823
Phone (772) 468-5600

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
I20190228000109 FL Practitioner - Nurse Practitioner 7911246426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians

Practice addresses (Care Compare)

2426 S Tamiami TRL
Sarasota, FL 34239-3842
Phone (941) 955-0360

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9407892FLMDRegistered Nurse
ARNP9407892FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Water'S Edge Dermatology, LLC Single Specialty CurrentSince Feb 1, 2020 Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Jan 1, 2022 Accepting new patients
Water'S Edge Dermatology, LLC CurrentSince Feb 1, 2020 Accepting new patients
Aqua Dermatology of Florida, PA Single Specialty CurrentSince Jan 1, 2022 Accepting new patients

Locations

5101 Okeechobee Rd
Fort Pierce, FL 34947
Phone (772) 595-5995

3498 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 219-1080

1096 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 222-2200

6250 Lantana Rd
Ste 9
Lake Worth, FL 33463
Phone (561) 578-8100

12983 Southern Blvd
Ste 204
Loxahatchee, FL 33470
Phone (561) 790-2258

3659 S Miami Ave
Ste 6008
Miami, FL 33133
Phone (305) 854-5432

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542

301 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-0039

600 Village Square Xing
Palm Beach Gardens, FL 33410
Phone (561) 693-0540

2845 Pga Blvd
Palm Beach Gardens, FL 33410
Phone (561) 693-0540

9401 SW Discovery Way
Ste 104
Port St Lucie, FL 34987
Phone (772) 380-4848

2426 S Tamiami Trl
Sarasota, FL 34239
Phone (507) 398-2753

264 NW Peacock Blvd
Ste 201
St Lucie West, FL 34986
Phone (772) 323-2321

2601 S Kanner Hwy
Stuart, FL 34994
Phone (772) 217-6829

121 S State Road 7
Wellington, FL 33414
Phone (561) 296-9666

2031 Palm Beach Lakes Blvd
#101
West Palm Beach, FL 33409
Phone (561) 296-7710

38162 Medical Center Ave
Zephyrhills, FL 33540
Phone (813) 782-2165

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1134582711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3384 W COMMUNITY DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588239",
            "telephone_number": "772-380-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MILITARY TRL STE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-746-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 W Midway Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349814823",
            "country_code": "US",
            "telephone_number": "772-468-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINNI",
        "first_name": "JENNA",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9407892",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9407892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.