Individual provider Active NPI

Jewell Marie Conway, NP-C

  • Family Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1184227779
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009772 Issued in FL
Practice address
401 W North Blvd
Leesburg, FL 34748-5044
Phone
(352) 728-4242
NPI assigned
Nov 17, 2020
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11009772 FL Primary

Addresses

Primary practice location

401 W North Blvd
Leesburg, FL 34748-5044

Mailing address

401 W North Blvd
Leesburg, FL 34748-5044
Phone (351) 728-4242

Other practice location 1

885 Sedalia St Ste 100
Ocoee, FL 34761-3164
Phone (407) 294-2994

Other practice location 2

320 E South St Ste 100
Orlando, FL 32801-3508
Phone (407) 843-1180

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
I20211217001303 FL Practitioner - Nurse Practitioner 6507257078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11009772FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Family CurrentSince Jun 3, 2024 Accepting new patients
Total Woman Health Care PA CurrentSince Nov 15, 2021 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

885 Sedalia St
Ste 100
Ocoee, FL 34761
Phone (407) 294-2994

320 E South St
Ste 100
Orlando, FL 32801
Phone (407) 843-1180

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14176/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1184227779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W NORTH BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485044",
            "telephone_number": "351-728-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W NORTH BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485044",
            "telephone_number": "352-728-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "885 Sedalia St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347613164",
            "country_code": "US",
            "telephone_number": "407-294-2994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 E South St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328013508",
            "country_code": "US",
            "telephone_number": "407-843-1180",
            "fax_number": "407-841-6160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "JEWELL",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.