Individual provider Active NPI

Jennifer Baboolall, APRN, FNP

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1598220154
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9253153 Issued in FL
Practice address
108 N Pine Ave
Ocala, FL 34475-6619
Phone
(352) 877-9907
NPI assigned
Feb 7, 2019
Last updated
Feb 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9253153 FL Primary

Addresses

Primary practice location

108 N Pine Ave
Ocala, FL 34475-6619

Mailing address

4545 SE 31St PL
Ocala, FL 34480-1635
Phone (352) 216-1871

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
I20200716003217 FL Practitioner - Nurse Practitioner 6204250731 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9253153FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine State Medical Clinic PA CurrentSince Jun 8, 2020 Accepting new patients
Advanced Wellness of Ocala CurrentSince Dec 29, 2024 Accepting new patients
Ocala Health and Wellness, LLC Family CurrentSince Dec 1, 2024 Accepting new patients
Renew Psychiatry PastSince Aug 10, 2025 Accepting new patients

Locations

1305 SE 25th Loop
#103
Ocala, FL 34471
Phone (352) 369-5440

6075 SW 73rd Street Rd
Ocala, FL 34476
Phone (352) 369-5440

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, 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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1598220154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 SE 31ST PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344801635",
            "telephone_number": "352-216-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N PINE AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344756619",
            "telephone_number": "352-877-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABOOLALL",
        "first_name": "JENNIFER",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9253153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.