Active NPI
Jenelle C Longo, APRN
- Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN9413215
- Practice address
- 14534 Old Saint Augustine Rd Ste 3210
Jacksonville, FL 32258-2645 - Phone
- (904) 675-4000
- Fax
- (904) 675-4007
- NPI assigned
- Jul 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN9413215 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | F339731-1 | NY |
Addresses
Primary practice location
14534 Old Saint Augustine Rd Ste 3210
Jacksonville, FL 32258-2645
Mailing address
11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627
Phone (904) 396-1725
Other practice location 1
5191 First Coast Tech Pkwy # 3
Jacksonville, FL 32224-0609
Phone (904) 675-4000
Other names 1
- Jenelle C Vargulick
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14534 Old Saint Augustine Rd
Suite 3210
Jacksonville, FL 32258-2645
Phone (904) 880-1260
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9413215 | FL | MD | Nurse Practitioner |
| F339731-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients |
Locations
36468 Emerald Coast Pkwy
Ste 1101
Destin, FL 32541
Phone (850) 290-2154
1340 S 18th St
Ste 104
Fernandina Beach, FL 32034
Phone (904) 277-3277
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
14534 Old St Augustine Rd
Ste 3210
Jacksonville, FL 32258
Phone (904) 880-1260
5191 First Coast Tech Pkwy
Fl 3
Jacksonville, FL 32224
Phone (904) 222-3332
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
Interoperability endpoints
- jlongo147057@direct.hss.edu
- jenelle.longo.1@9109.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 and National Provider Directory roles.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1508241506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11945 SAN JOSE BLVD STE 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322231627",
"telephone_number": "904-396-1725",
"fax_number": "904-396-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14534 OLD SAINT AUGUSTINE RD STE 3210",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322582645",
"telephone_number": "904-675-4000",
"fax_number": "904-675-4007"
}
],
"practiceLocations": [
{
"address_1": "5191 First Coast Tech Pkwy # 3",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322240609",
"country_code": "US",
"telephone_number": "904-675-4000",
"fax_number": "904-675-4007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONGO",
"first_name": "JENELLE",
"middle_name": "C",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9413215",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F339731-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENELLE",
"last_name": "VARGULICK",
"middle_name": "C",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.