Individual provider Active NPI

Jenna Marie Heller, ARNP

  • Nurse Practitioner
  • Bonita Springs, FL
National Provider Identifier
1457935231
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11008942 Issued in FL
Practice address
27499 Riverview Center Blvd Ste 213
Bonita Springs, FL 34134-4334
Phone
(904) 990-4001
NPI assigned
May 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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 11008942 FL Primary

Addresses

Primary practice location

27499 Riverview Center Blvd Ste 213
Bonita Springs, FL 34134-4334

Mailing address

17981 N River Rd
Alva, FL 33920-3213
Phone (610) 506-2160

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
I20210709000715 FL Practitioner - Nurse Practitioner 9335541671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jimmy Liu MD PAGroup PAC ID 5799012910, 2 clinicians
Prime Medical Health and Wellness LLCGroup PAC ID 1052746054, 3 clinicians

Practice addresses (Care Compare)

10949 Parnu St
Naples, FL 34109-1405
Phone (904) 990-4001

24301 Walden Ctr Dr
Suite 300
Bonita Springs, FL 34134-4965

26455 S Tamiami TRL
Bonita Springs, FL 34134-7815
Phone (904) 990-4001

Hospital & facility affiliations

  • Empath Home Health Home health agency, Fort Myers, FL, CCN 109786
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11008942FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jimmy Liu, M.D., P.a. CurrentSince Mar 16, 2022 Accepting new patients

Locations

24301 Walden Center Dr
Ste 300
Bonita Springs, FL 34134
Phone (239) 345-8001

27499 Riverview Center Blvd
Ste 213
Bonita Springs, FL 34134
Phone (239) 345-8001

21301 S Tamiami Trl
Ste 320
Estero, FL 33928
Phone (423) 480-4087

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": "1620432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1457935231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17981 N RIVER RD",
            "city": "ALVA",
            "state": "FL",
            "postal_code": "339203213",
            "telephone_number": "610-506-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27499 RIVERVIEW CENTER BLVD STE 213",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344334",
            "telephone_number": "904-990-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-08",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11008942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.