Active NPI
Vip Primary Care Services
- Family Nurse Practitioner
- Bartow, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- VIP PRIMARY CARE SERVICES
- Practice address
- 1482 N. Wilson Ave
Bartow, FL 33830 - Phone
- (863) 440-8770
- Fax
- (863) 656-3401
- NPI assigned
- Jun 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Inga Jennings, APRN
- Title
- Provider
- Phone
- (863) 440-8770
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1482 N. Wilson Ave
Bartow, FL 33830
Mailing address
2958 Warfield Drive
Bartow, FL 33830
Phone (863) 440-8770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1428762820 | Other | FL | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2299612 | Vip Primary Care Services LLC | Certificate of waiver | Feb 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
1482 N Wilson Ave
Bartow, FL 33830
Phone (863) 323-2136
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Bartow, FL
- NPI 1427602820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755561600000",
"number": "1508542424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2958 WARFIELD DRIVE",
"city": "BARTOW",
"state": "FL",
"postal_code": "33830",
"telephone_number": "863-440-8770",
"fax_number": "863-656-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1482 N. WILSON AVE",
"city": "BARTOW",
"state": "FL",
"postal_code": "33830",
"telephone_number": "863-440-8770",
"fax_number": "863-656-3401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIP PRIMARY CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-26",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A",
"authorized_official_last_name": "JENNINGS",
"authorized_official_first_name": "INGA",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "863-440-8770",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1428762820",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bartow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.