Individual provider Active NPI

Jennifer Lyn Stillwell, FNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1184360331
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11019549 Issued in FL
Practice address
2501 N Orange Ave Ste 310
Orlando, FL 32804-4642
Phone
(407) 303-2001
NPI assigned
May 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X APRN11019549 FL
Family Medicine Physician 207Q00000X APRN11019549 FL
Pediatric Cardiology Physician 2080P0202X APRN11019549 FL
Family Nurse Practitioner 363LF0000X APRN11019549 FL Primary

Addresses

Primary practice location

2501 N Orange Ave Ste 310
Orlando, FL 32804-4642

Mailing address

14708 Catlin Rd
Orlando, FL 32828-7308
Phone (443) 365-1970

Other practice location 1

6535 Nemours Pkwy
Orlando, FL 32827-7884
Phone (407) 567-4000

Other practice location 2

14708 Catlin Rd
Orlando, FL 32828-7308
Phone (443) 365-1970

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
I20230213002023 FL Practitioner - Nurse Practitioner 4082086491 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11019549FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Family Medicine CurrentSince Feb 27, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 27, 2023 Accepting new patients

Locations

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2501 N Orange Ave
Ste 310
Orlando, FL 32804
Phone (407) 856-7226

Interoperability endpoints

  • Direct secure messaging: jstillwell111690@adventhealth.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1184360331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14708 CATLIN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287308",
            "telephone_number": "443-365-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 310",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044642",
            "telephone_number": "407-303-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6535 Nemours Pkwy",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277884",
            "country_code": "US",
            "telephone_number": "407-567-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14708 Catlin Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328287308",
            "country_code": "US",
            "telephone_number": "443-365-1970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLWELL",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "APRN11019549",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11019549",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "APRN11019549",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.