Individual provider Active NPI

Jessica Maria Guzman Perez, FNP BC

  • Family Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1245801042
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11013585 Issued in FL
Practice address
4011 NW 43Rd St Ste B
Gainesville, FL 32606-4609
Phone
(352) 283-0605
NPI assigned
Jul 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 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 11013585 FL Primary

Addresses

Primary practice location

4011 NW 43Rd St Ste B
Gainesville, FL 32606-4609

Mailing address

4011 NW 43Rd St Ste B
Gainesville, FL 32606-4609
Phone (802) 881-7328

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
I20220302002628 FL Practitioner - Nurse Practitioner 7618361908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Florida Surgical Associates LLCGroup PAC ID 4082634407, 52 clinicians

Practice addresses (Care Compare)

1121 NW 64TH Ter
Gainesville, FL 32605-4256

1143 NW 64TH Ter
Gainesville, FL 32605-4218
Phone (352) 331-1201

Hospital & facility affiliations

  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204

Merit-based Incentive Payment System (MIPS)

Final score
80.61 of 100Reported as group
Quality
77.5
Improvement activities
20
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11013585FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgical Associates LLC CurrentSince Jan 27, 2025 Accepting new patients

Locations

1143 NW 64th Ter
Gainesville, FL 32605
Phone (352) 331-1201

1121 NW 64th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-6777

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: jessica.guzmanperez@hca5.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1245801042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 NW 43RD ST STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064609",
            "telephone_number": "802-881-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 NW 43RD ST STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064609",
            "telephone_number": "352-283-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN PEREZ",
        "first_name": "JESSICA MARIA",
        "name_prefix": "Mrs.",
        "credential": "FNP BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.