Individual provider Active NPI

Jessica Pember, RN, BSN, APRN, CNM

  • Midwife
  • Orange Park, FL
National Provider Identifier
1467280958
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
1560 Kingsley Ave Ste 4
Orange Park, FL 32073-9200
Phone
(904) 264-1628
NPI assigned
Jul 25, 2024
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X RN9534455 FL
Midwife 176B00000X NU Primary

Addresses

Primary practice location

1560 Kingsley Ave Ste 4
Orange Park, FL 32073-9200

Mailing address

1560 Kingsley Ave Ste 4
Orange Park, FL 32073-9200
Phone (904) 264-1628

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250703002753 FL Practitioner - Certified Nurse Midwife (CNM) 3678087475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

1560 Kingsley Ave
Suite 4
Orange Park, FL 32073-9200
Phone (904) 264-1628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9534455FLMDMaternal Newborn Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
Womencare PA Single Specialty Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

1747 Baptist Clay Dr
Ste 340
Fleming Island, FL 32003
Phone (904) 264-1628

1658 St Vincents Way
Ste 130
Middleburg, FL 32068
Phone (904) 264-1624

1560 Kingsley Ave
Ste 4
Orange Park, FL 32073
Phone (904) 264-1620

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jessica.pember.1@2183.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1467280958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 KINGSLEY AVE STE 4",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320739200",
            "telephone_number": "904-264-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 KINGSLEY AVE STE 4",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320739200",
            "telephone_number": "904-264-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBER",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, APRN, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "FL",
            "license": "RN9534455",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.