Theodore G Heninger II, APRN FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11020469 Issued in FL

Practice address

1335 W Indiantown Rd
Jupiter, FL 33458-4631

Phone

(561) 263-7010

NPI assigned

Jul 1, 2022

Last updated

Jan 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jupiter Medical Center Physicians Group IncGroup PAC ID 4284797069, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: theninger21386@jupitermedicalcenter.direct-ci.com
• Direct secure messaging: theodore.heninger.1@17433.direct.athenahealth.com

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.

• Jupiter Medical Center Physicians Group Inc

  • Cardiovascular Disease Physician
  • Jupiter, FL
  • NPI 1396992475
  Medicare reassignment Care Compare group NPD
• Jupiter Medical Center Physicians Group

  dba Jupiter Medical Center Urgent Care

  • Urgent Care Clinic/Center
  • Jupiter, FL
  • NPI 1730522921
  NPD
• Jupiter Medical Center Physicians Group Inc

  dba JMC Community Care

  • Pediatric Surgery Physician
  • Jupiter, FL
  • NPI 1093344376
  NPD

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

• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1275266728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 RIVERWALK LN UNIT 4",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583975",
            "telephone_number": "561-254-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 W INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584631",
            "telephone_number": "561-263-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENINGER",
        "first_name": "THEODORE",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-01",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Hector
• Sylvia Ann Kerstin Heed, P.T.
• Teresa A Heidinger, COTA/L
• Amanda Christine Hein, MPT
• Kristy Lynn Hendsbee, PTA
• Heritage Physicians Services
• Laura Hernandez Mendez, MD
• April M Hernandez, B.A. D.C.
• Thomas Mitchell Hernandez, MD
• Patricia D Heron

• Family Nurse Practitioner in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.