Active NPI
Jennifer A Negrin, MD
- Family Medicine Physician
- Auburndale, FL
National Provider Identifier
1437198330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME89089
- 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
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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272775700 | Medicaid | FL |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME89089 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yesenia Medina DO PA | Family Medicine | Past | Accepting new patients |
| Mangrove Health Centers, Inc. | Family Medicine | Past | Accepting new patients |
| Winter Haven Hospital Inc | Past | 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.
-
- Family Medicine Physician
- Miami, FL
- NPI 1346327848
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
-
- Family Medicine Physician
- Miami, FL
- NPI 1073818761
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.