NPIMap

Individual provider Active NPI

Jennifer Castle, ARNP

  • Family Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1235616947
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9411315 Issued in FL
Practice address
2450 Tamiami TRL Ste a
Port Charlotte, FL 33952-3922
Phone
(941) 624-2704
NPI assigned
Jul 25, 2018
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 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 Practitioner 363LF0000X APRN9411315 FL Primary

Addresses

Primary practice location

2450 Tamiami TRL Ste a
Port Charlotte, FL 33952-3922

Mailing address

2675 Winkler Ave Ste 200
Fort Myers, FL 33901-9328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190131002507 FL Practitioner - Nurse Practitioner 4587901319 Reassigns benefits to 1 organization
I20250102002700 VA Practitioner - Nurse Practitioner 4587901319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

2450 Tamiami TRL
Suite a
Port Charlotte, FL 33952-3922
Phone (941) 624-2704

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Dec 1, 2025 Accepting new patients
Johnson Health Center CurrentSince Sep 20, 2024 Accepting new patients
Millennium Physician Group LLC CurrentSince Dec 1, 2025 Accepting new patients
Johnson Health Center CurrentSince Sep 20, 2024 Accepting new patients
Johnson Health Center CurrentSince Sep 20, 2024 Accepting new patients

Locations

2675 Winkler Ave
Ste 200
Fort Myers, FL 33901

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

2450 Tamiami Trl
Ste A
Pt Charlotte, FL 33952
Phone (941) 235-3447

109 Clearview Rd
Madison Heights, VA 24572
Phone (434) 929-1400

134 Elon Rd
Madison Hts, VA 24572
Phone (434) 929-1400

925 Village Hwy
Rustburg, VA 24588
Phone (434) 332-7367

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jennifer.castle.1@17280.direct.athenahealth.com

Organizations & group practices 5

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 7

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1235616947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 TAMIAMI TRL STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339523922",
            "telephone_number": "941-624-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLE",
        "first_name": "JENNIFER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9411315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.