Individual provider Active NPI

Jennifer Vo, APRN

  • Medical Physician Assistant
  • Venice, FL
National Provider Identifier
1134643281
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9112422 Issued in FL
Practice address
315 Nokomis Ave S
Venice, FL 34285-2417
Phone
(941) 477-4007
Fax
(877) 239-7174
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9112422 FL Primary

Addresses

Primary practice location

315 Nokomis Ave S
Venice, FL 34285-2417

Mailing address

PO Box 22025
Tampa, FL 33622-2025
Phone (419) 477-4007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191202000559 FL Practitioner - Physician Assistant 7113292012 Reassigns benefits to 3 organizations
I20240215004522 MD Practitioner - Physician Assistant 7113292012

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bliss Dermatology LLCGroup PAC ID 9335594316, 5 clinicians
Premier Dermatology, LLCGroup PAC ID 6002031531, 48 clinicians

Practice addresses (Care Compare)

315 Nokomis Ave S
Venice, FL 34285-2417
Phone (941) 477-4007

350 S Indiana Ave
Englewood, FL 34223-3715
Phone (941) 474-8811

Merit-based Incentive Payment System (MIPS)

Final score
89.85 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
66.16

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9112422FLMDMedical Physician Assistant

Organizations & group practices 3

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1134643281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22025",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336222025",
            "telephone_number": "419-477-4007",
            "fax_number": "877-239-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852417",
            "telephone_number": "941-477-4007",
            "fax_number": "877-239-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9112422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.