Individual provider Active NPI

Jennifer Aldamuy, APRN

  • Gerontology Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1508441890
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11011555 Issued in FL
Practice address
9836 US Highway 441
Leesburg, FL 34788-3918
Phone
(352) 787-8531
Fax
(352) 787-3041
NPI assigned
Mar 17, 2021
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11011555 FL Primary

Addresses

Primary practice location

9836 US Highway 441
Leesburg, FL 34788-3918

Mailing address

9836 US Highway 441
Leesburg, FL 34788-3918
Phone (352) 787-8531

Other identifiers 1

IdentifierTypeStateIssuer
14924119OtherCAQH

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
I20220222001125 FL Practitioner - Nurse Practitioner 4688068448 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid Florida Primary Care PAGroup PAC ID 7416049044, 6 clinicians

Practice addresses (Care Compare)

401 W N Blvd
Leesburg, FL 34748-5044
Phone (352) 728-4242

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Health Care and Physical Medicine Ocala LLC CurrentSince Jan 1, 2022 Accepting new patients
Mid-Florida Primary Care PA CurrentSince Jan 3, 2025 Accepting new patients
Mid-Florida Primary Care PA CurrentSince Jan 3, 2025 Accepting new patients
Buchanan Physical Medicine, Inc CurrentSince Aug 21, 2023 Accepting new patients
Mid Florida Primary Care PA Current Accepting new patients

Locations

401 W North Blvd
Leesburg, FL 34748
Phone (352) 728-4242

9836 US Highway 441
Leesburg, FL 34788
Phone (352) 787-8531

3256 S Pine Ave
Ste 301
Ocala, FL 34471
Phone (352) 369-6325

3773 S Pine Ave
Ocala, FL 34471
Phone (352) 369-6325

17809 SE 109th Ave
Summerfield, FL 34491
Phone (352) 307-4200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1508441890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9836 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883918",
            "telephone_number": "352-787-8531",
            "fax_number": "352-787-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9836 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883918",
            "telephone_number": "352-787-8531",
            "fax_number": "352-787-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDAMUY",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11011555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14924119",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.