Individual provider Active NPI

Jennifer Rae Kleinkort, APRN

  • Critical Care Medicine Nurse Practitioner
  • Winter Springs, FL
National Provider Identifier
1316670557
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
APRN11020610 Issued in FL
Practice address
1035 N Elk CT
Winter Springs, FL 32708-4422
Phone
(321) 841-5210
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11020610 FL
Critical Care Medicine Nurse Practitioner 363LC0200X APRN11020610 FL Primary

Addresses

Primary practice location

1035 N Elk CT
Winter Springs, FL 32708-4422

Mailing address

52 W Underwood St
Orlando, FL 32806-1110
Phone (321) 843-1378

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
I20220926000938 FL Practitioner - Nurse Practitioner 1759767957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Cardiovascular ConsultantsGroup PAC ID 3870489495, 4 clinicians

Practice addresses (Care Compare)

915 Harley Strickland Blvd
Orange City, FL 32763-7967
Phone (386) 456-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11020610FLMDAcute Care Nurse Practitioner
APRN11020610FLMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Cardiovascular Consultants CurrentSince Oct 12, 2023 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2022 Accepting new patients

Locations

1319 S International Pkwy
Ste 1171
Lake Mary, FL 32746
Phone (386) 668-2221

759 Harley Strickland Blvd
Orange City, FL 32763
Phone (386) 456-0300

915 Harley Strickland Blvd
Orange City, FL 32763
Phone (386) 456-0300

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

Interoperability endpoints

  • Direct secure messaging: jelrod395178@orlandohealth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/HADDAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HADDAA/Endpoint/HADDAA

Organizations & group practices 4

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": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1316670557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 W UNDERWOOD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "321-843-1378",
            "fax_number": "321-843-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N ELK CT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084422",
            "telephone_number": "321-841-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINKORT",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11020610",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "APRN11020610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

Verify at the official NPI Registry.