Individual provider Active NPI

Jessica M Reader, FNP-C

  • Nurse Practitioner
  • New Smyrna Beach, FL
National Provider Identifier
1508328915
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
99999999 Issued in FL
Practice address
1055 N Dixie Fwy Ste 1
New Smyrna Beach, FL 32168-6200
Phone
(386) 423-0505
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9227310 FL
Nurse Practitioner 363L00000X 99999999 FL Primary

Addresses

Primary practice location

1055 N Dixie Fwy Ste 1
New Smyrna Beach, FL 32168-6200

Mailing address

812 Soft Pine CT
New Smyrna Beach, FL 32168-6167
Phone (386) 871-4852

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
I20190926000795 FL Practitioner - Nurse Practitioner 5890025399 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9227310FLMDRegistered Nurse
99999999FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Volusia Medical Center LLC CurrentSince Mar 6, 2025 Accepting new patients

Locations

161 N Causeway
Ste A
New Smyrna Beach, FL 32169
Phone (386) 424-3320

3900 Clark Rd
Ste L2
Sarasota, FL 34233
Phone (941) 210-0248

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1508328915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 SOFT PINE CT",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686167",
            "telephone_number": "386-871-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N DIXIE FWY STE 1",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686200",
            "telephone_number": "386-423-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "READER",
        "first_name": "JESSICA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9227310",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "99999999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.