Individual provider Active NPI

Inga Jennings, APRN

  • Nurse Practitioner
  • Bartow, FL
National Provider Identifier
1427602820
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11003431 Issued in FL
Practice address
1482 N. Wilson Avenue
Bartow, FL 33830
Phone
(863) 323-2136
Fax
(863) 656-3401
NPI assigned
Jul 25, 2019
Reactivated
Sep 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11003431 FL Primary

Addresses

Primary practice location

1482 N. Wilson Avenue
Bartow, FL 33830

Mailing address

1482 N. Wilson Avenue
Bartow, FL 33830
Phone (863) 323-2136

Other practice location 1

631 Midflorida Dr
Lakeland, FL 33813-4902
Phone (863) 583-4445 ext. 100

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
I20191031001622 FL Practitioner - Nurse Practitioner 9638401227 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dean Medical IncGroup PAC ID 7810174711, 10 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1129 Lakeland Hills Blvd
Lakeland, FL 33805-4655
Phone (863) 594-2433

8768 SE 165TH Mulberry LN
The Villages, FL 32162-5861
Phone (352) 329-5237

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integra Neuro Pain Institute PA Neurology CurrentSince Aug 1, 2022 Accepting new patients
Novus Spine, LLC Interventional Pain Medicine CurrentSince May 5, 2025 Accepting new patients
Dean Medical Inc CurrentSince Oct 31, 2025 Accepting new patients

Locations

8297 Champions Gate Blvd
Champions Gate, FL 33896
Phone (206) 588-5251

2217 North Blvd W
Ste B
Davenport, FL 33837
Phone (863) 547-0788

212 S Dixie Dr
Haines City, FL 33844
Phone (863) 547-0788

1129 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 594-2433

631 Midflorida Dr
Lakeland, FL 33813
Phone (863) 583-4445

5979 Vineland Rd
Ste 207
Orlando, FL 32819
Phone (407) 345-0065

5979 Vineland Rd
Ste 114
Orlando, FL 32819
Phone (407) 237-0907

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 4

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": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1427602820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 N. WILSON AVENUE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "33830",
            "telephone_number": "863-323-2136",
            "fax_number": "863-656-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 N. WILSON AVENUE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "33830",
            "telephone_number": "863-323-2136",
            "fax_number": "863-656-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 Midflorida Dr",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338134902",
            "country_code": "US",
            "telephone_number": "863-583-4445 x100",
            "fax_number": "863-225-5289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "INGA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "deactivation_date": "2025-08-19",
        "reactivation_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11003431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

Verify at the official NPI Registry.