Active NPI
Jessica Rae Harrell, MD
- Internal Medicine Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME144790
- Practice address
- 300 Pinellas St
Clearwater, FL 33756-3804 - Phone
- (727) 316-5033
- NPI assigned
- Mar 20, 2017
- Last updated
- Jun 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME144790 | FL | Primary |
Addresses
Primary practice location
300 Pinellas St
Clearwater, FL 33756-3804
Mailing address
800 32ND Ave N Apt 3
St Petersburg, FL 33704-1259
Phone (407) 376-5553
Other practice location 1
6850 Lake Nona Blvd
Orlando, FL 32827-7408
Phone (321) 697-1736
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Univ of Central Florida, College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 W Bay Dr
Suite 321
Largo, FL 33770-3227
Phone (727) 316-5033
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME144790 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Sunstate Physicians LLC | Internal Medicine | Current | Accepting new patients |
Locations
2234 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 306-5469
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
801 West Bay Dr
Ste 321
Largo, FL 33770
Phone (561) 302-6086
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
Interoperability endpoints
- jessica.harrell@direct.mybaycare.org
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.
-
dba Foundation Medical Group
- Hospitalist Physician
- Boca Raton, FL
- NPI 1750872545
Internal Medicine
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
Internal Medicine
-
- Internal Medicine Physician
- Largo, FL
- NPI 1992389126
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Northside Hospital
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1205880945
-
dba HCA Florida Largo Hospital
- General Acute Care Hospital
- Largo, FL
- NPI 1144274879
-
dba Morton Plant Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1578004768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 32ND AVE N APT 3",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337041259",
"telephone_number": "407-376-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PINELLAS ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563804",
"telephone_number": "727-316-5033"
}
],
"practiceLocations": [
{
"address_1": "6850 Lake Nona Blvd",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328277408",
"country_code": "US",
"telephone_number": "321-697-1736",
"fax_number": "407-697-3923",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRELL",
"first_name": "JESSICA",
"middle_name": "RAE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-20",
"last_updated": "2022-06-02",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME144790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.