Jennifer Lynn Waicus

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11006496 Issued in FL

Practice address

7807 Baymeadows Rd E Ste 303
Jacksonville, FL 32256-9667

Phone

(904) 204-6585

Fax

(850) 390-7195

NPI assigned

Mar 28, 2020

Last updated

Aug 31, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Ethos Health Group, LLC

  • Multi-Specialty Clinic/Center
  • Ocala, FL
  • NPI 1982410726
  Medicare reassignment NPD

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1417585316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 ORANGE TREE DR",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321416216",
            "telephone_number": "386-690-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 BAYMEADOWS RD E STE 303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569667",
            "telephone_number": "904-204-6585",
            "fax_number": "850-390-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAICUS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Wahila, SLP
• Agnes Wozniak Wahl, NURSE PRACTITIONER
• Kelsey Wahl, DMD
• Evan Farrell Wahlquist
• Chloe Alyssa Wai
• John W Waidner, M.D.
• Kylie Wainer
• Christopher R Wainwright, MD
• Brian Michael Waite, MSPT
• Zachary James Waite

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.