Individual provider Active NPI

Jennifer L Hart, ARNP

  • Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1255683124
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9250128 Issued in FL
Practice address
202 N Park Ave Ste 100
Apopka, FL 32703-4148
Phone
(407) 889-4711
Fax
(407) 889-7742
NPI assigned
Oct 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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 APRN9250128 FL Primary

Addresses

Primary practice location

202 N Park Ave Ste 100
Apopka, FL 32703-4148

Mailing address

202 N Park Ave Ste 100
Apopka, FL 32703-4148
Phone (407) 889-4711

Other identifiers 1

IdentifierTypeStateIssuer
ARNP9250128OtherFLADV NURSE PRACTITIONER

Other names 1

  • Ms. Jennifer L Goldrich 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
I20121205000187 FL Practitioner - Nurse Practitioner 7315199981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians
Best Value Healthcare LLCGroup PAC ID 2668772419, 56 clinicians

Practice addresses (Care Compare)

202 N Park Ave
100 Optum Park Ave
Apopka, FL 32703-4148
Phone (407) 889-4711

2607 Windguard Cir
Suite 102
Wesley Chapel, FL 33544-7352
Phone (813) 907-6767

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida LLC CurrentSince Sep 30, 2019 Accepting new patients
Optumcare Florida, LLC CurrentSince Sep 30, 2019 Accepting new patients

Locations

202 N Park Ave
Ste 100
Apopka, FL 32703
Phone (407) 889-4711

202 N Park Ave
Apopka, FL 32703
Phone (407) 889-4711

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

2304 Aloma Ave
Ste 100
Winter Park, FL 32792
Phone (407) 679-9222

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jennifer.hart@wellmed.eclinicaldirectplus.com

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.

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": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1255683124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N PARK AVE STE 100",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034148",
            "telephone_number": "407-889-4711",
            "fax_number": "407-889-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N PARK AVE STE 100",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034148",
            "telephone_number": "407-889-4711",
            "fax_number": "407-889-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9250128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADV NURSE PRACTITIONER",
            "identifier": "ARNP9250128",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GOLDRICH",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.