Individual provider Active NPI

Jennifer Nardella, APRN

  • Family Nurse Practitioner
  • Pompano Beach, FL
National Provider Identifier
1235808361
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005426 Issued in FL
Practice address
4 NE 4TH Ave
Pompano Beach, FL 33060-6630
Phone
(305) 414-9988
NPI assigned
Sep 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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 APRN11005426 FL Primary

Addresses

Primary practice location

4 NE 4TH Ave
Pompano Beach, FL 33060-6630

Mailing address

4 NE 4TH Ave
Pompano Beach, FL 33060-6630
Phone (305) 414-9988

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
I20230427002051 FL Practitioner - Nurse Practitioner 5890150767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Medical Center, IncGroup PAC ID 2668706995, 4 clinicians
Dna Center LLCGroup PAC ID 7618108978, 7 clinicians

Practice addresses (Care Compare)

4 NE 4TH Ave
Pompano Beach, FL 33060-6630
Phone (754) 222-6642

4750 N Federal Hwy
Fort Lauderdale, FL 33308-4609
Phone (954) 210-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11005426FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pompano Beach Chiropractic Clinic, PA CurrentSince Jan 1, 2023 Accepting new patients
Lighthouse Medical Center, Inc. CurrentSince Jan 5, 2023 Accepting new patients
Dna Center LLC CurrentSince Jun 16, 2025 Accepting new patients

Locations

1430 Mason Ave
Daytona Beach, FL 32117
Phone (386) 274-2000

4750 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 210-7500

4750 N Federal Hwy
Ste 100
Ft Lauderdale, FL 33308
Phone (301) 760-3226

4 NE 4th Ave
Pompano Beach, FL 33060
Phone (754) 222-6642

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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": "1631318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1235808361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NE 4TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606630",
            "telephone_number": "305-414-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NE 4TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606630",
            "telephone_number": "305-414-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDELLA",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-11",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.