Individual provider Active NPI

Jennifer B Wood, APRN

  • Family Nurse Practitioner
  • Marianna, FL
National Provider Identifier
1215503024
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11013437 Issued in FL
Practice address
4284 Kelson Ave
Marianna, FL 32446-2948
Phone
(850) 482-2910
Fax
(850) 482-2836
NPI assigned
Jun 2, 2021
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 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 APRN11013437 FL Primary

Addresses

Primary practice location

4284 Kelson Ave
Marianna, FL 32446-2948

Mailing address

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-6700

Other practice location 1

1798 Georgia St
Alford, FL 32420-6800
Phone (850) 526-6727

Other practice location 2

4896 Highway 90 Ste A
Marianna, FL 32446-7840
Phone (850) 526-6700

Other identifiers 1

IdentifierTypeStateIssuer
110651300MedicaidFL

Other names 1

  • Jennifer B Palmberg 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
I20210610002295 FL Practitioner - Nurse Practitioner 3779983853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ER Physician Group at Jackson HospitalGroup PAC ID 8729059472, 153 clinicians

Practice addresses (Care Compare)

4896 Hwy 90
Suite a
Marianna, FL 32446-7840
Phone (850) 526-6700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
ER Physician Group at Jackson Hospital CurrentSince Jun 7, 2021 Accepting new patients

Locations

1798 Georgia St
Alford, FL 32420
Phone (850) 526-6727

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

4284 Kelson Ave
Marianna, FL 32446
Phone (850) 482-2910

4719 Highway 90
Marianna, FL 32446
Phone (850) 526-3314

4896 Highway 90
Ste A
Marianna, FL 32446
Phone (850) 526-6700

Interoperability endpoints

  • Direct secure messaging: jenniferpalmberg@jh.allscriptsdirect.net

Organizations & group practices 1

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 2

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1215503024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 HOSPITAL DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461917",
            "telephone_number": "850-526-6700",
            "fax_number": "850-526-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4284 KELSON AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462948",
            "telephone_number": "850-482-2910",
            "fax_number": "850-482-2836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1798 Georgia St",
            "address_purpose": "LOCATION",
            "city": "Alford",
            "state": "FL",
            "postal_code": "324206800",
            "country_code": "US",
            "telephone_number": "850-526-6727",
            "fax_number": "850-526-1027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4896 Highway 90 Ste A",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324467840",
            "country_code": "US",
            "telephone_number": "850-526-6700",
            "fax_number": "850-526-6701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JENNIFER",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110651300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PALMBERG",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.