Individual provider Active NPI

Jeanne Marie Lufkin, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1477849206
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2632532 Issued in FL
Practice address
17511 Bruce B Downs Blvd
Tampa, FL 33647-3211
Phone
(813) 915-5459
Fax
(855) 225-2817
NPI assigned
Jun 20, 2011
Last updated
Apr 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2632532 FL Primary

Addresses

Primary practice location

17511 Bruce B Downs Blvd
Tampa, FL 33647-3211

Mailing address

12470 Telecom Dr
Ste 100
Temple Terrace, FL 33637-0904
Phone (813) 915-5459

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
I20120202000732 FL Practitioner - Nurse Practitioner 2365609385 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17511 Bruce B Downs Blvd
Tampa, FL 33647-3211
Phone (813) 981-0978

22829 State Rd
Suite 54
Land O Lakes, FL 34639-5227
Phone (813) 591-1552

4660 13TH St
Saint Cloud, FL 34769-6765
Phone (407) 200-2300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2632532FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc Family CurrentSince Sep 25, 2023 Accepting new patients
Adventist Health System Sunbelt, Inc. Family Current Accepting new patients
Florida Hospital Physician Group Inc Family CurrentSince Jun 1, 2017 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Sep 23, 2024 Accepting new patients
Adventist Health System Sunbelt Inc Family Current Accepting new patients
Adventist Health System /Sunbelt, Inc. Family CurrentSince Sep 23, 2024 Accepting new patients
Adventist Health System/Sunbelt, Inc Family CurrentSince Sep 25, 2023 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

17511 Bruce B Downs Blvd
Tampa, FL 33647
Phone (813) 903-8404

12470 Telecom Dr
Ste 100
Temple Terrace, FL 33637
Phone (813) 929-5454

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Interoperability endpoints

  • Direct secure messaging: jlufkin73318@adventhealth.direct-ci.com

Organizations & group practices 7

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.

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1477849206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12470 TELECOM DR",
            "address_2": "STE 100",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370904",
            "telephone_number": "813-915-5459",
            "fax_number": "855-225-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17511 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473211",
            "telephone_number": "813-915-5459",
            "fax_number": "855-225-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUFKIN",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2632532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.