Jennifer Rose Phillips, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN9264110 Issued in FL

Practice address

6804 Cecelia Drive
New Port Richey, FL 34653-4935

Phone

(855) 232-0644

Fax

(888) 546-0488

NPI assigned

Sep 16, 2015

Last updated

Aug 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mobile Physician Services IncGroup PAC ID 4688685654, 39 clinicians

Careconnectmd Florida P.a.Group PAC ID 7911389838, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.phillips.1@29651.direct.athenahealth.com

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.

• Careconnectmd Florida P.a.

  • Geriatric Medicine (Internal Medicine) Physician
  • Jacksonville, FL
  • NPI 1912632886
  Medicare reassignment Care Compare group NPD
• Mobile Physician Services Inc.

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1003002759

  Adult Health

  Medicare reassignment Care Compare group NPD
• Florida Medical Clinic LLC

  • Clinic/Center
  • Zephyrhills, FL
  • NPI 1821055690
  Medicare reassignment NPD
• Pi: Prevention and Intervention Wound Care and Dermatological Services

  • Nursing Care Agency
  • Tampa, FL
  • NPI 1396313110
  Medicare reassignment NPD
• At Your Door Visiting Healthcare Services, LLC

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1750760849

  FL

  Medicare reassignment NPD
• WCS Professional Services of Florida, LLC

  • Nurse Practitioner
  • Metairie, LA
  • NPI 1659782415

  FL

  Medicare reassignment NPD
• Specialized Care Initiative PLLC

  • Adult Health Nurse Practitioner
  • New Port Richey, FL
  • NPI 1255179743
  Medicare reassignment
• Florida Medical Clinic, LLC

  dba Florida Medical Clinic Pharmacy

  • Pharmacy
  • Zephyrhills, FL
  • NPI 1669548020
  NPD
• Restorixhealth at-Home, LLC

  • Nurse Practitioner
  • Metairie, LA
  • NPI 1255974689
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1609245950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 CECELIA DRIVE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346534935",
            "telephone_number": "855-232-0644",
            "fax_number": "888-546-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6804 CECELIA DRIVE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346534935",
            "telephone_number": "855-232-0644",
            "fax_number": "888-546-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9264110",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9264110",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "AG0815117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Corporation of America (Blake Pharmacy)
• Pharmacy Corporation of America (Blake Pharmacy)
• Pharmacy Corporation of America (Blake Pharmacy)
• Rochelle Schaffer Philipps
• Camille Anne Phillips
• Michelle Ortiz Phillips, MS
• Physician Management Services of Florida II, LLC
• Physician Management Services of South Florida, LLC
• Physicians Injury Medical Center, LLC
• Vanessa Piantanida

• Adult Health Nurse Practitioner in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.

Verify at the official NPI Registry.