Jennifer Poucher

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11017863 Issued in FL

Practice address

289 SW Range Ave Ste C
Madison, FL 32340-2351

Phone

(850) 973-2252

Fax

(855) 531-6313

NPI assigned

Feb 2, 2022

Sex

Female

Sole proprietor

No

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.

• Ascension Internal Medicine of Florida, LLC

  • Internal Medicine Physician
  • Live Oak, FL
  • NPI 1811233505

  FL

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Health Services (Certified), Inc.

  • Home Health Agency
  • Lake City, FL
  • NPI 1669406377
  Care Compare affiliation Name & address match
• Madison County Hospital Health Systems, Inc.

  • Critical Access Hospital
  • Madison, FL
  • NPI 1104821461

  Hospital

  Care Compare affiliation
• North Florida Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1174579155

  Hospital

  Care Compare affiliation
• Notami Hospitals of Florida Inc

  • General Acute Care Hospital
  • Lake City, FL
  • NPI 1992751879

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascension Internal Medicine of Florida LLC 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Lake City, FL, CCN 107420
• HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156
• Madison County Memorial Hospital Hospital, Madison, FL, CCN 101311
• HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 2, 2022.

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1255084976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3966 72ND ST",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320607406",
            "telephone_number": "386-249-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 SW RANGE AVE STE C",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402351",
            "telephone_number": "850-973-2252",
            "fax_number": "855-531-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUCHER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthodox Catholic Healthcare Services Inc
• Theresa Blaine Baker Payne, D.O.
• Peacock Investment Enterprises
• Daniel B Perkins, MD
• Gena Plain, PA-C
• William R. Primas, M.D.
• Cina Quezada
• Martha Kelly Waldrep Reeves, ARNP
• Richard Edwards Construction
• Charlie E Richardson, M.D.

• All providers in Madison, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.