Jennifer Berry Matthesen, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME132012 Issued in FL

Practice address

380 Town Plaza Ave Ste 410
Ponte Vedra, FL 32081-5177

Phone

(904) 285-7202

Fax

(904) 285-3931

NPI assigned

Jul 30, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Dr. Jennifer Anne Berry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bermax II LLC

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Melbourne, FL
  • NPI 1326374901
  NPD (past)
• John B Harris MD PA

  • Plastic Surgery Physician
  • Ponte Vedra Beach, FL
  • NPI 1679596985
  NPD (past)

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1174931463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BRISTOL PL",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821523",
            "telephone_number": "904-395-3714",
            "fax_number": "904-285-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 TOWN PLAZA AVE STE 410",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815177",
            "telephone_number": "904-285-7202",
            "fax_number": "904-285-3931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 W Eau Gallie Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329355958",
            "country_code": "US",
            "telephone_number": "321-727-3223",
            "fax_number": "321-727-9448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHESEN",
        "first_name": "JENNIFER",
        "middle_name": "BERRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "53345",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "277360",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME132012",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A83217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BERRY",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Rachel Marcus-Hendry, LMHC
• Marianna Garibaldi Pmhnp LLC
• Cynthia Martinez
• Jacqueline Martinez
• Tiffany Lynne Matheny
• Carol Anne McCabe, DDS
• Mallory Ann McClain, RBT
• Lyndsee McDonald, OTR/L
• Kimberly McGowan
• Catherine McLoone, LMHC

• Plastic Surgery Physician in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.