Individual provider Active NPI

Jeanine B Hellwig, ARNPC

  • Adult Health Nurse Practitioner
  • Milton, FL
National Provider Identifier
1326074436
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN1007922 Issued in FL
Practice address
5750 Berryhill Rd
Milton, FL 32570-8276
Phone
(850) 623-0543
Fax
(850) 623-5479
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN1007922 FL Primary

Addresses

Primary practice location

5750 Berryhill Rd
Milton, FL 32570-8276

Mailing address

5750 Berryhill Rd
Milton, FL 32570-8276
Phone (850) 623-0543

Other identifiers 3

IdentifierTypeStateIssuer
Y0854OtherFLBCBS
500023854OtherFLRAILROAD MEDICARE
304180800MedicaidFL

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
I20100811000603 FL Practitioner - Nurse Practitioner 3678607785

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11945 San Jose Blvd
Suite 300
Jacksonville, FL 32223-1612

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN1007922FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Orthopedic Assoc P a CurrentSince Jan 1, 2001 Accepting new patients

Locations

5750 Berryhill Rd
Milton, FL 32570
Phone (850) 433-6918

Interoperability endpoints

  • Direct secure messaging: jeaninehellwig@sroa.allscriptsdirect.net
  • Direct secure messaging: jeanine.hellwig.1@9109.direct.athenahealth.com

Organizations & group practices 1

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 1

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1326074436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325708276",
            "telephone_number": "850-623-0543",
            "fax_number": "850-623-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325708276",
            "telephone_number": "850-623-0543",
            "fax_number": "850-623-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLWIG",
        "first_name": "JEANINE",
        "middle_name": "B",
        "credential": "ARNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "RN1007922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y0854",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500023854",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304180800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.