Individual provider Active NPI

Jennifer A Charity, MD

  • Internal Medicine Physician
  • Key West, FL
National Provider Identifier
1568439404
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
016395 Issued in ME
Practice address
1111 12TH St Ste 103
Key West, FL 33040-4084
Phone
(305) 295-3535
Fax
(305) 294-6868
NPI assigned
Feb 28, 2006
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 016395 ME Primary

Addresses

Primary practice location

1111 12TH St Ste 103
Key West, FL 33040-4084

Mailing address

1111 12TH St Ste 103
Key West, FL 33040-4084
Phone (305) 295-3535

Other identifiers 1

IdentifierTypeStateIssuer
248590099MedicaidME

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
I20140603001096 FL Practitioner - Internal Medicine 1052201613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Geisel School of Medicine at Dartmouth, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Keys Medical Associates, PAGroup PAC ID 5395904270, 2 clinicians

Practice addresses (Care Compare)

1111 12TH St
Suite 103
Key West, FL 33040-4084
Phone (305) 295-3535

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.98 of 100Reported as individual
Quality
79.96
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016395MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Keys Medical Associates PA Internal Medicine CurrentSince Mar 23, 2014 Accepting new patients

Locations

1111 12th St
Ste 103
Key West, FL 33040
Phone (305) 295-0770

1111 12th St
Ste 210
Key West, FL 33040
Phone (305) 295-3535

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14235/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.charity.1@14235.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1568439404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 12TH ST STE 103",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404084",
            "telephone_number": "305-295-3535",
            "fax_number": "305-294-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 12TH ST STE 103",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404084",
            "telephone_number": "305-295-3535",
            "fax_number": "305-294-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARITY",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "016395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248590099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.