Individual provider Active NPI

Jessica Spencer, APRN. PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Homosassa, FL
National Provider Identifier
1194416057
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11031079 Issued in FL
Practice address
7945 S Suncoast Blvd Ste a&B
Homosassa, FL 34446-5005
Phone
(352) 423-4923
Fax
(855) 583-3730
NPI assigned
May 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 344077 AZ
Registered Nurse 163W00000X RN2384435 MA
Registered Nurse 163W00000X 899495 NV
Registered Nurse 163W00000X 129983 HI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1232481 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95029335 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-RXN.0104320-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 89026 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406394 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11031079 FL Primary
Registered Nurse 163W00000X 10060430 OR
Registered Nurse 163W00000X RN9527018 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-288090 MT

Addresses

Primary practice location

7945 S Suncoast Blvd Ste a&B
Homosassa, FL 34446-5005

Mailing address

7901 4TH St N # 25245
Saint Petersburg, FL 33702-4305
Phone (813) 710-1600

Other practice location 1

7901 4th St N # 25245
Saint Petersburg, FL 33702-4305
Phone (813) 710-1600

Other names 1

  • Jessica Santos Former name

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
I20241115001432 FL Practitioner - Nurse Practitioner 2961936711 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9527018FLMDRegistered Nurse
11031079FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Project Health Inc CurrentSince Sep 8, 2024 Accepting new patients
Project Health Inc. CurrentSince Sep 8, 2024 Accepting new patients
Bloom Into Balance Psychiatry & Wellness, PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

7945 S Suncoast Blvd
Ste Ab
Homosassa, FL 34446
Phone (352) 423-4923

120 N Montgomery Ave
Inverness, FL 34450
Phone (352) 419-5760

1425 S US 301
Sumterville, FL 33585

1389 S US 301
Sumterville, FL 33585

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": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1194416057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N # 25245",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "813-710-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 S SUNCOAST BLVD STE A&B",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465005",
            "telephone_number": "352-423-4923",
            "fax_number": "855-583-3730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 4th St N # 25245",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337024305",
            "country_code": "US",
            "telephone_number": "813-710-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JESSICA",
        "credential": "APRN. PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "344077",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2384435",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "899495",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "129983",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1232481",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95029335",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-RXN.0104320-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "89026",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406394",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11031079",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "10060430",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9527018",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "APRN-288090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SANTOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Homosassa, FL

Sources for this page

Verify at the official NPI Registry.