Individual provider Active NPI

Elizabeth Jaena, NP-C

  • Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1437789898
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11015197 Issued in FL
Practice address
2770 Capital Medical Blvd Ste 109C
Tallahassee, FL 32308-8417
Phone
(805) 728-0230
NPI assigned
Jan 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95013476 CA
Nurse Practitioner 363L00000X 11015197 FL Primary

Addresses

Primary practice location

2770 Capital Medical Blvd Ste 109C
Tallahassee, FL 32308-8417

Mailing address

2770 Capital Medical Blvd Ste 109C
Tallahassee, FL 32308-8417
Phone (805) 728-0230

Other practice location 1

921 W 7th St
Oxnard, CA 93030-6755
Phone (805) 728-0230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200721002274 CA Practitioner - Nurse Practitioner 6709200983
I20231102003622 FL Practitioner - Nurse Practitioner 6709200983 Reassigns benefits to 1 organization

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
Capital Regional Heart Associates LLCGroup PAC ID 1850532292, 7 clinicians

Practice addresses (Care Compare)

2770 Capital Medical Blvd
Suite 109C
Tallahassee, FL 32308-8417
Phone (850) 877-0320

Hospital & facility affiliations

  • HCA Florida Capital Hospital Hospital, Tallahassee, FL, CCN 100254
  • Doctors Memorial Hospital Inc Hospital, Perry, FL, CCN 101314

Merit-based Incentive Payment System (MIPS)

Final score
93.02 of 100Reported as group
Quality
90.38
Promoting interoperability
99
Improvement activities
40
Cost
72.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95013476CAMDNurse Practitioner
11015197FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Regional Heart Associates, LLC CurrentSince Nov 1, 2023 Accepting new patients
Stephen S. Hong, M.D., a Professional Corp. PastSince Feb 1, 2020 Accepting new patients

Locations

2770 Capital Medical Blvd
Ste 109C
Tallahassee, FL 32308
Phone (850) 877-0320

2631 Centennial Blvd
Ste 200
Tallahassee, FL 32308
Phone (850) 656-7265

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1437789898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 CAPITAL MEDICAL BLVD STE 109C",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088417",
            "telephone_number": "805-728-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CAPITAL MEDICAL BLVD STE 109C",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088417",
            "telephone_number": "805-728-0230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930306755",
            "country_code": "US",
            "telephone_number": "805-728-0230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAENA",
        "first_name": "ELIZABETH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95013476",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11015197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.