Jennifer Elizabeth Payne, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Mangonia Park, FL
NPI 1154640100 · NPPES record last updated Feb 19, 2026
Key facts
- NPI
- 1154640100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- ME 118750 (FL)
- Practice address
- 901 45TH St
Mangonia Park, FL 33407-2413 - Phone
- (561) 844-6300
- NPI assigned
- May 28, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DHP of Manatee PA
Practice addresses (Care Compare)
901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 844-6300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141007002073 | FL | Practitioner - Obstetrics/Gynecology | 7911127311 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A127225 | CA | MD | Obstetrics & Gynecology Physician |
| ME 118750 | FL | MD | Obstetrics & Gynecology Physician |
| 25511 | WV | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHP of Manatee PA | Obstetrics & Gynecology | Current |
Accepting new patients |
Locations
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500
703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000
3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200
101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25511 | WV | |
| Obstetrics & Gynecology Physician | 207V00000X | ME 118750 | FL | Yes |
| Obstetrics & Gynecology Physician | 207V00000X | A127225 | CA |
Addresses
Primary practice location
901 45TH St
Mangonia Park, FL 33407-2413
Mailing address
901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 844-6300
Other providers in Mangonia Park, FL
- Samuel Morrison
- Elaine Althea Nelson
- Garrett Nguyen
- Sasha Ortiz
- Jagdip K Patel
- Elliot Jay Pearson
- Pediatrix Medical Group Florida Inc
- Pediatrix Medical Group of Florida Inc
- Pediatrix Medical Group of Florida Inc
- Patricia Pollicina Edelstein
All providers in Mangonia Park, FL · Obstetrics & Gynecology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.