Individual provider Active NPI

Jiji Nalo Mombenga, ARNP

  • Family Nurse Practitioner
  • Windermere, FL
National Provider Identifier
1184511594
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11039842 Issued in FL
Practice address
7331 Ella LN
Windermere, FL 34786-6690
Phone
(407) 398-9319
NPI assigned
Jun 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 11039842 FL Primary

Addresses

Primary practice location

7331 Ella LN
Windermere, FL 34786-6690

Mailing address

7331 Ella LN
Windermere, FL 34786-6690
Phone (407) 398-9319

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
I20251215000016 FL Practitioner - Nurse Practitioner 5496249237 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Transitional Care Specialists LLCGroup PAC ID 0143502831, 9 clinicians

Practice addresses (Care Compare)

11954 Narcoossee Rd
Orando, FL 32832-6998
Phone (407) 335-3549

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11039842FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Medical Services LLC Single Specialty CurrentSince Dec 23, 2025 Accepting new patients
Orlando Transitional Care Specialists LLC Single Specialty CurrentSince Dec 1, 2025 Accepting new patients
Nova Medical Services - Wound Care Division LLC Single Specialty CurrentSince Oct 13, 2025 Accepting new patients

Locations

11954 Narcoossee Rd
Ste 2
Orlando, FL 32832
Phone (407) 335-3549

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

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": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1184511594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 ELLA LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866690",
            "telephone_number": "407-398-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 ELLA LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866690",
            "telephone_number": "407-398-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMBENGA",
        "first_name": "JIJI",
        "middle_name": "NALO",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11039842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

Verify at the official NPI Registry.