Active NPI
Jennifer Lyn Stillwell, FNP
- Family Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11019549
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11019549 | FL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | 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
- 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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.