Individual provider Active NPI

Jennifer Mariani, APRN

  • Nurse Practitioner
  • Avon Park, FL
National Provider Identifier
1245687805
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9349155 Issued in FL
Practice address
596 US Highway 27 N
Avon Park, FL 33825-2958
Phone
(863) 314-8555
NPI assigned
May 24, 2016
Last updated
May 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9349155 FL Primary

Addresses

Primary practice location

596 US Highway 27 N
Avon Park, FL 33825-2958

Mailing address

596 US Highway 27 N
Avon Park, FL 33825-2958
Phone (863) 314-8555

Other identifiers 1

IdentifierTypeStateIssuer
024687600MedicaidFL

Other names 1

  • Jennifer Green-Crandel 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
I20160831002082 FL Practitioner - Nurse Practitioner 5698061679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlands Advanced Rheumatology and Arthritis Center PLGroup PAC ID 6709924855, 4 clinicians

Practice addresses (Care Compare)

596 US Hwy 27 N
Avon Park, FL 33825-2958
Phone 8633148555110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as group
Quality
100
Promoting interoperability
95
Improvement activities
40
Cost
70.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Advanced Rheumatology and Arthritis Center PL CurrentSince Jun 26, 2016 Accepting new patients

Locations

596 US Highway 27 N
Avon Park, FL 33825
Phone (863) 314-8555

3750 Emergency Ln
Ste 3
Sebring, FL 33870
Phone (863) 314-8555

401 E Central Ave
Winter Haven, FL 33880
Phone 86329311913286

Interoperability endpoints

  • Direct secure messaging: jennifer.mariani@direct.harac.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: cassandra.hemby.p1@direct.harac.nextgenshare.com

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 3

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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1245687805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 US HIGHWAY 27 N",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252958",
            "telephone_number": "863-314-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 US HIGHWAY 27 N",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252958",
            "telephone_number": "863-314-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANI",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9349155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024687600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GREEN-CRANDEL",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon Park, FL

Sources for this page

Verify at the official NPI Registry.