Active NPI
Jean Bernard Fleuristal
- Family Nurse Practitioner
- Haines City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9162372
- Practice address
- 705 Ingraham Ave
Haines City, FL 33844-4327 - Phone
- (866) 234-8534
- NPI assigned
- Jun 5, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | ARNP9162372 | FL | Primary |
Addresses
Primary practice location
705 Ingraham Ave
Haines City, FL 33844-4327
Mailing address
47 5TH St NW
Winter Haven, FL 33881-4672
Phone (863) 268-7850
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.12 of 100
- Quality
- 64.08
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9162372 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Health Care, Inc | Current | Accepting new patients | |
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Central Florida Health Care, Inc | Current | Accepting new patients | |
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients |
Locations
950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000
109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891
705 Ingraham Ave
Haines City, FL 33844
Phone (863) 291-3314
305 W Central Ave
Fl Heal
Lake Wales, FL 33853
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600
47 5th St NW
Winter Haven, FL 33881
1514 1st St N
Winter Haven, FL 33881
Phone (863) 291-5110
Interoperability endpoints
- jfleuristal51249@lrhs.direct-ci.com
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
dba Central Florida Health Care Frostproof
- Federally Qualified Health Center (FQHC)
- Frostproof, FL
- NPI 1467449660
-
- Primary Care Clinic/Center
- Coral Gables, FL
- NPI 1336583707
-
- Federally Qualified Health Center (FQHC)
- Bartow, FL
- NPI 1811796469
-
- Federally Qualified Health Center (FQHC)
- Avon Park, FL
- NPI 1831232669
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lakeland Regional Medical Center
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1447609094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 5TH ST NW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814672",
"telephone_number": "863-268-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 INGRAHAM AVE",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338444327",
"telephone_number": "866-234-8534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEURISTAL",
"first_name": "JEAN",
"middle_name": "BERNARD",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-05",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9162372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.