Individual provider Active NPI

Jennifer A Negrin, MD

  • Family Medicine Physician
  • Auburndale, FL
National Provider Identifier
1437198330
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME89089 Issued in FL
Practice address
2028 Highway 92W
Mid Florida Family Health Center
Auburndale, FL 33823
Phone
(863) 965-9327
Fax
(863) 968-9058
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME89089 FL Primary

Addresses

Primary practice location

2028 Highway 92W
Mid Florida Family Health Center
Auburndale, FL 33823

Mailing address

2028 Highway 92W
Mid Florida Family Health Center
Auburndale, FL 33823
Phone (863) 965-9327

Other identifiers 1

IdentifierTypeStateIssuer
272775700MedicaidFL

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2015 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME89089FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yesenia Medina DO PA Family Medicine Past Accepting new patients
Mangrove Health Centers, Inc. Family Medicine PastSince Jan 1, 2016 Accepting new patients
Winter Haven Hospital Inc PastSince Nov 24, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1437198330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 HIGHWAY 92W",
            "address_2": "MID FLORIDA FAMILY HEALTH CENTER",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "33823",
            "telephone_number": "863-965-9327",
            "fax_number": "863-968-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 HIGHWAY 92W",
            "address_2": "MID FLORIDA FAMILY HEALTH CENTER",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "33823",
            "telephone_number": "863-965-9327",
            "fax_number": "863-968-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRIN",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME89089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272775700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburndale, FL

Sources for this page

Verify at the official NPI Registry.