Individual provider Active NPI

Jennifer Alejo

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1174365282
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9118870 Issued in FL
Practice address
4401 N Himes Ave
Tampa, FL 33614-7097
Phone
(813) 393-3720
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9118870 FL Primary

Addresses

Primary practice location

4401 N Himes Ave
Tampa, FL 33614-7097

Mailing address

4401 N Himes Ave
Tampa, FL 33614-7097

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
I20260304000076 FL Practitioner - Physician Assistant 6800378431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Family Health Centers IncGroup PAC ID 1254243769, 66 clinicians

Practice addresses (Care Compare)

12410 N Nebraska Ave
Tampa, FL 33612-5352
Phone (813) 397-5300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9118870FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Family Health Centers, Inc. CurrentSince Jan 25, 2026 Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Jan 25, 2026 Accepting new patients
Tampa Family Health Centers Inc Past Accepting new patients

Locations

12410 N Nebraska Ave
Tampa, FL 33612

12085 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 852-5270

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": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1174365282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 N HIMES AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 N HIMES AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147097",
            "telephone_number": "813-393-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEJO",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.