Individual provider Active NPI

Jennifer Merlino

  • Family Nurse Practitioner
  • Venice, FL
National Provider Identifier
1407393093
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005424 Issued in FL
Practice address
3885 Woodmere Park Blvd Apt 3
Venice, FL 34293-5270
Phone
(609) 647-0009
NPI assigned
Jan 20, 2017
Last updated
Nov 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG-0001109 DE
Family Nurse Practitioner 363LF0000X 26NJ00699500 NJ
Family Nurse Practitioner 363LF0000X APRN11005424 FL Primary

Addresses

Primary practice location

3885 Woodmere Park Blvd Apt 3
Venice, FL 34293-5270

Mailing address

8875 Hidden River Pkwy Ste 300
Tampa, FL 33637-2087

Other practice location 1

8875 Hidden River Pkwy Ste 300
Tampa, FL 33637-2087
Phone (941) 303-1494

Other practice location 2

501 W 14th Street
Wilmington, DE 19801-1013
Phone (302) 320-4410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0001109DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
House Call Group, PC PastSince Oct 1, 2017 Accepting new patients
Intellihealth, Inc. PastSince Mar 1, 2017 Accepting new patients

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, 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": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1407393093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8875 HIDDEN RIVER PKWY STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336372087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 WOODMERE PARK BLVD APT 3",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935270",
            "telephone_number": "609-647-0009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8875 Hidden River Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336372087",
            "country_code": "US",
            "telephone_number": "941-303-1494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 W 14th Street",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011013",
            "country_code": "US",
            "telephone_number": "302-320-4410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERLINO",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0001109",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00699500",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.