Active NPI
Jerilyn J Botwinik, APRN
- Family Nurse Practitioner
- Tampa, FL
National Provider Identifier
1427005669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9179846
- Practice address
- 16411 Oakmanor Dr
Tampa, FL 33624-1234 - Phone
- (813) 444-3201
- Fax
- (813) 436-5294
- NPI assigned
- May 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9179846 | FL | Primary |
Addresses
Primary practice location
16411 Oakmanor Dr
Tampa, FL 33624-1234
Mailing address
13014 N Dale Mabry Hwy Ste 186
Tampa, FL 33618-2808
Phone (813) 444-3201
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070418000169 | FL | Practitioner - Nurse Practitioner | 5698870756 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nurse Practitioner on the Go LLC
Practice addresses (Care Compare)
Tampa, FL 33624
Phone (813) 444-3201
Hospital & facility affiliations
- Trilogy Home Healthcare
- Patients First Home Care LLC
- Enhabit Home Health
- Medical Services of America Home Health
- Pinnacle Home Care
- Orlando Health Bayfront Hospital
- Morton Plant Hospital
- St Josephs Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9179846 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurse Practitioner on the Go, LLC | Current | Accepting new patients | |
| Sarroca Medical Center, Inc. | Past | Accepting new patients | |
| Renato Concepcion MD PA | Past | Accepting new patients |
Locations
13014 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 215-6275
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 and National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Tampa, FL
- NPI 1306960471
-
- Clinic/Center
- Tampa, FL
- NPI 1003359514
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tampa, FL
- NPI 1558777102
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
Hospital
-
- Home Health Agency
- Sarasota, FL
- NPI 1245845312
-
- Home Health Agency
- Bradenton, FL
- NPI 1578252615
-
- Home Health Agency
- Tampa, FL
- NPI 1437663465
-
- Home Health Agency
- Clearwater, FL
- NPI 1972883742
-
- Home Health Agency
- Tampa, FL
- NPI 1770535890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1427005669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13014 N DALE MABRY HWY STE 186",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182808",
"telephone_number": "813-444-3201",
"fax_number": "813-436-5294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16411 OAKMANOR DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336241234",
"telephone_number": "813-444-3201",
"fax_number": "813-436-5294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTWINIK",
"first_name": "JERILYN",
"middle_name": "J",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9179846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.