Active NPI
William Van Jensen, DO
- Family Medicine Physician
- Pompano Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS 5965
- Practice address
- 1800 N Federal Hwy
Suite 104
Pompano Beach, FL 33062-1034 - Phone
- (954) 782-0010
- Fax
- (954) 781-2139
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS 5965 | FL | Primary |
Addresses
Primary practice location
1800 N Federal Hwy
Suite 104
Pompano Beach, FL 33062-1034
Mailing address
1800 N Federal Hwy
Suite 104
Pompano Beach, FL 33062-1034
Phone (954) 782-0010
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11373 Cortez Blvd
Brooksville, FL 34613-5405
Phone (352) 596-3032
1800 N Federal Hwy
Suite 104
Pompano Beach, FL 33062-1011
Phone (954) 782-0010
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 5965 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hernando Pasco Primary Care LLC | Family Medicine | Current | Accepting new patients |
| Independant Ipa,LLC | Past | Accepting new patients |
Locations
11373 Cortez Blvd
Ste 206
Brooksville, FL 34613
Phone (352) 596-3032
1800 N Federal Hwy
Ste 104
Pompano Beach, FL 33062
Phone (954) 782-0010
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HIBHCD
- https://fhir4.healow.com/fhir/r4/CIDHCD
Organizations & group practices 2
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.
-
dba MyCare Medical
- Internal Medicine Physician
- Lutz, FL
- NPI 1245273093
Family Medicine
-
- Specialist
- Hudson, FL
- NPI 1720415474
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Medical Group
- Internal Medicine Physician
- Ft. Lauderdale, FL
- NPI 1467401877
Hospital
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
-
dba Broward Health Imperial Point
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1265460232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261353600000",
"number": "1144339912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 N FEDERAL HWY",
"address_2": "SUITE 104",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330621034",
"telephone_number": "954-782-0010",
"fax_number": "954-781-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 N FEDERAL HWY",
"address_2": "SUITE 104",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330621034",
"telephone_number": "954-782-0010",
"fax_number": "954-781-2139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "WILLIAM",
"middle_name": "VAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2009-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS 5965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.