Individual provider Active NPI

Jessica Rose Matthews, ARPN

  • Acute Care Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1295291227
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11036107 Issued in FL
Practice address
6919 N Dale Mabry Hwy
Ste 125
Tampa, FL 33614-3972
Phone
(813) 497-9661
Fax
(813) 615-8468
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN9363288 FL
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 11036107 FL Primary

Addresses

Primary practice location

6919 N Dale Mabry Hwy
Ste 125
Tampa, FL 33614-3972

Mailing address

6919 N Dale Mabry Hwy
Ste 125
Tampa, FL 33614
Phone (813) 497-9661

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
I20250421001287 FL Practitioner - Nurse Practitioner 4082139258 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9363288FLMDCritical Care Medicine Registered Nurse
11036107FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Cardiovascular and Interventional Consultants MD PA Single Specialty CurrentSince Mar 3, 2025 Accepting new patients
Idicula Medical Associates MD PA Single Specialty CurrentSince Sep 12, 2025 Accepting new patients
St Luke Heart Institute Inc Single Specialty PastSince Sep 12, 2025 Accepting new patients

Locations

455 Pinellas St
Ste 400
Clearwater, FL 33756
Phone (727) 445-1911

8839 Bryan Dairy Rd
Ste 300
Largo, FL 33777
Phone (727) 394-1911

1840 Mease Dr
Ste 202
Safety Harbor, FL 34695
Phone (727) 445-1911

10065 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-1229

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIIBAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1295291227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 N DALE MABRY HWY",
            "address_2": "STE 125",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-497-9661",
            "fax_number": "813-615-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 N DALE MABRY HWY",
            "address_2": "STE 125",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143972",
            "telephone_number": "813-497-9661",
            "fax_number": "813-615-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "credential": "ARPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "RN9363288",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11036107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.