Active NPI
Jennifer Joan Haas, ARNP
- Family Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9220407
- Practice address
- 3000 Medical Park Dr
Tampa, FL 33613-4680 - Phone
- (813) 615-7028
- Fax
- (813) 615-8008
- NPI assigned
- Nov 14, 2017
- Last updated
- Aug 1, 2023
- 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 | ARNP9220407 | FL | Primary |
Addresses
Primary practice location
3000 Medical Park Dr
Tampa, FL 33613-4680
Mailing address
4301 N Habana Ave
Tampa, FL 33607-6546
Phone (813) 870-4064
Other practice location 1
4301 N Habana Ave
Tampa, FL 33607-6546
Phone (813) 870-4064
Other names 1
- Jennifer Jordan
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jennifer.JordanAPRN@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260
3000 Medical Park Dr
Suite 320
Tampa, FL 33613-4681
Phone (813) 910-0027
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9220407 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Family | Current | Accepting new patients |
Locations
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jennifer.jordanaprn@direct.mybaycare.org
- jhaas1603698@adventhealth.direct-ci.com
Organizations & group practices 2
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- Gastroenterology Physician
- Brandon, FL
- NPI 1316057441
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Tampa
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
dba AdventHealth Tampa Outreach Laboratory
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1134766694
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1427561372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 N HABANA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076546",
"telephone_number": "813-870-4064",
"fax_number": "813-443-8146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MEDICAL PARK DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134680",
"telephone_number": "813-615-7028",
"fax_number": "813-615-8008"
}
],
"practiceLocations": [
{
"address_1": "4301 N Habana Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076546",
"country_code": "US",
"telephone_number": "813-870-4064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAAS",
"first_name": "JENNIFER",
"middle_name": "JOAN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-14",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9220407",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jennifer.JordanAPRN@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2995 Drew St Fl 2",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337593012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "JORDAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tampa, FL
- H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.
- H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. (Clinic Pharmacy)
- H2 Medical Corp
- H3Art 2 Hearts LLC (H3art 2 Hearts Care Services)
- Alexander Maxwell Haas, M.D.
- Matthew Haas
- Melissa Haas, PA-C
- Shana Lynn Haas, LCSW
- Tia Marie Haas, APRN
- Mutaz B Habal, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.