Individual provider Active NPI

Jennifer Lyn Cultrera, M.D.

  • Medical Oncology Physician
  • Lady Lake, FL
National Provider Identifier
1316041064
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME104856 Issued in FL
Practice address
1400 N US Highway 441
Suite 540
Lady Lake, FL 32159-8975
Phone
(352) 753-9777
Fax
(352) 753-9781
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X ME104856 FL Primary
Hematology (Internal Medicine) Physician 207RH0000X ME104856 FL

Addresses

Primary practice location

1400 N US Highway 441
Suite 540
Lady Lake, FL 32159-8975

Mailing address

PO Box 102222
Attn: Credential Dept
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

2955 Brownwood Blvd Ste 107
The Villages, FL 32163-2040
Phone (352) 765-7100

Other identifiers 1

IdentifierTypeStateIssuer
000971000MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090727000670 FL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2668578188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
The Villages, FL 32162-1762
Phone (352) 693-3378

2231 Hwy 44 West 203
Florida Cancer Specialists PL
Inverness, FL 34453-3879
Phone (352) 860-7400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC Hematology CurrentSince Oct 1, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology Past Accepting new patients

Locations

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

2231 Highway 44 W
Ste 203
Inverness, FL 34453
Phone (352) 860-7400

601 E Dixie Ave
Ste 1001
Leesburg, FL 34748
Phone (352) 787-9448

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

1400 N US Highway 441
Ste 540
The Villages, FL 32159
Phone (352) 561-3290

1400 N US Highway 441
Ste 924
The Villages, FL 32159
Phone (352) 633-8319

1400 N US Highway 441
Ste 552
The Villages, FL 32159
Phone (352) 751-2862

2955 Brownwood Blvd
Ste 107
The Villages, FL 32163
Phone (352) 765-7100

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 7

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1316041064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "address_2": "ATTN: CREDENTIAL DEPT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441",
            "address_2": "SUITE 540",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598975",
            "telephone_number": "352-753-9777",
            "fax_number": "352-753-9781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2955 Brownwood Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321632040",
            "country_code": "US",
            "telephone_number": "352-765-7100",
            "fax_number": "352-430-0031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULTRERA",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME104856",
            "primary": true
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME104856",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000971000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.