Individual provider Active NPI

Jennifer M Kurtin, DO

  • Adult Medicine Physician
  • Jensen Beach, FL
National Provider Identifier
1528029535
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
OS8311 Issued in FL
Practice address
1109 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4707
Phone
(772) 335-3500
Fax
(772) 335-1361
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X OS8311 FL Primary

Addresses

Primary practice location

1109 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4707

Mailing address

1109 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4707
Phone (772) 335-3500

Other identifiers 1

IdentifierTypeStateIssuer
261379400MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110812000614 FL Practitioner - Family Practice 1254407901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lucie Medical Specialists LLCGroup PAC ID 1456430487, 39 clinicians

Practice addresses (Care Compare)

1109 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4707
Phone (772) 335-9600

1881 SE Tiffany Ave
Port Saint Lucie, FL 34952-7567

2505 SW Martin Hwy
Palm City, FL 34990-3149
Phone (772) 288-1015

293 NW Peacock Blvd
Port Saint Lucie, FL 34986-2222

433 SE Ocean Blvd
Stuart, FL 34994-2573
Phone (772) 335-9600

Hospital & facility affiliations

  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS8311FLMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lucie Medical Specialists LLC CurrentSince Jun 14, 2011 Accepting new patients
Associates in Medicine, LLC Past Accepting new patients
Cardiopulmonary Associates of the Treasure Coast PA Past Accepting new patients
Lawnwood Cardiovascular Surgery LLC Past Accepting new patients

Locations

1109 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 232-1198

2505 SW Martin Hwy
Palm City, FL 34990
Phone (772) 288-0060

1881 SE Tiffany Ave
Ste 306
Port Saint Lucie, FL 34952
Phone (772) 398-7822

140 SW Chamber Ct
Ste 100
Port St Lucie, FL 34986
Phone (772) 873-0303

Interoperability endpoints

  • Direct secure messaging: jennifer.kurtin@hca4.eclinicaldirectplus.com

Organizations & group practices 4

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.

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528029535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 NE JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574707",
            "telephone_number": "772-335-3500",
            "fax_number": "772-335-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 NE JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574707",
            "telephone_number": "772-335-3500",
            "fax_number": "772-335-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTIN",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS8311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261379400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

Verify at the official NPI Registry.