Individual provider Active NPI

Jill Kimberly Bittinger, MSN FNP

  • Nurse Practitioner
  • Naples, FL
National Provider Identifier
1285628883
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9341297 Issued in FL
Practice address
3363 Tamiami TR, N Skin Deep Naples
Naples, FL 34103
Phone
(239) 260-5060
NPI assigned
Sep 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9341297 FL
Nurse Practitioner 363L00000X APRN9341297 FL Primary
Family Nurse Practitioner 363LF0000X R130805 MD
Family Nurse Practitioner 363LF0000X R 168491-7 MN

Addresses

Primary practice location

3363 Tamiami TR, N Skin Deep Naples
Naples, FL 34103

Mailing address

340 Tamiami TR. N #168
Naples, FL 34102
Phone (239) 450-9308

Other names 1

  • Jill Kimberly Salata 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
I20121012000354 FL Practitioner - Nurse Practitioner 7416947676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care of Naples PAGroup PAC ID 6204964877, 7 clinicians

Practice addresses (Care Compare)

6400 Davis Blvd
Suite 103
Naples, FL 34104-5321
Phone (239) 775-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9341297FLMDNurse Practitioner
ARNP9341297FLMDFamily Nurse Practitioner
R 168491-7MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Epn Urgent Care LLC Current Accepting new patients
Urgent Care of Naples PA Nurse Practitioner CurrentSince Apr 1, 2014 Accepting new patients
Harbor Hospital Past Accepting new patients
After Hours Pediatrics, Inc. Past Accepting new patients
Medstar Harbor Hospital Physicians LLC Past Accepting new patients
Doctors Emergency Service, PA Past Accepting new patients
Regina Medical Center Past Accepting new patients
Osler Drive Emergency Physcians Associates, P.a. PastSince Apr 11, 2021 Accepting new patients
Saint Paul Place Specialists, Inc. Past Accepting new patients

Locations

6400 Davis Blvd
Ste 102
Naples, FL 34104
Phone (239) 799-1970

6400 Davis Blvd
Ste 103
Naples, FL 34104
Phone (239) 304-0054

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1285628883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 TAMIAMI TR. N #168",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34102",
            "telephone_number": "239-450-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 TAMIAMI TR, N SKIN DEEP NAPLES",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34103",
            "telephone_number": "239-260-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTINGER",
        "first_name": "JILL",
        "middle_name": "KIMBERLY",
        "credential": "MSN FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9341297",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9341297",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R130805",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 168491-7",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SALATA",
            "middle_name": "KIMBERLY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.