Individual provider Active NPI

Jill Ashley Coltrin, ARNP, FNP-C

  • Family Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1326498775
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9330894 Issued in FL
Practice address
400 S Orlando Ave Ste 202
Maitland, FL 32751-5644
Phone
(407) 968-1600
NPI assigned
Jun 16, 2016
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9330894 FL Primary
Registered Nurse 163W00000X ARNP9330894 FL

Addresses

Primary practice location

400 S Orlando Ave Ste 202
Maitland, FL 32751-5644

Mailing address

400 S Orlando Ave Ste 202
Maitland, FL 32751-5644
Phone (407) 968-1600

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
I20181207001136 FL Practitioner - Nurse Practitioner 8921342551 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9330894FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
26Health, Inc Family CurrentSince Apr 1, 2019 Accepting new patients

Locations

801 N Magnolia Ave
Ste 220
Orlando, FL 32803
Phone (407) 963-5664

801 N Magnolia Ave
Ste 402
Orlando, FL 32803
Phone (321) 800-2922

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1326498775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S ORLANDO AVE STE 202",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515644",
            "telephone_number": "407-968-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S ORLANDO AVE STE 202",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515644",
            "telephone_number": "407-968-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLTRIN",
        "first_name": "JILL",
        "middle_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9330894",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "ARNP9330894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.