Individual provider Active NPI

Jessica Lilah Oprisiu, ARNP

  • Primary Care Nurse Practitioner
  • Tarpon Springs, FL
National Provider Identifier
1609249168
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP 9406107 Issued in FL
Practice address
247 S Huey Ave
Tarpon Springs, FL 34689-4205
Phone
(727) 824-8181
Fax
(727) 939-4679
NPI assigned
Nov 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP 9406107 FL Primary

Addresses

Primary practice location

247 S Huey Ave
Tarpon Springs, FL 34689-4205

Mailing address

PO Box 10549
St Petersburg, FL 33733-0549
Phone (727) 824-8181

Other identifiers 1

IdentifierTypeStateIssuer
08DSUOtherFLFLORIDA BLUE

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
I20160601001741 FL Practitioner - Nurse Practitioner 4789974858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1721 Main St
Dunedin, FL 34698-6402
Phone (727) 824-8181

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9406107FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Pinellas Inc Current Accepting new patients
Community Health Center of Pinellas Inc CurrentSince Jan 1, 2023 Accepting new patients
Community Health Centers of Pinellas Inc. CurrentSince Jan 1, 2023 Accepting new patients

Locations

26286 US Highway 19 N
Ste B
Clearwater, FL 33761
Phone (727) 824-8100

14100 58th St N
Clearwater, FL 33760

707 Druid Rd E
Clearwater, FL 33756
Phone (727) 441-8963

14100 58th St N
Ste 100
Clearwater, FL 33760
Phone (727) 286-6224

9064 NW 13th Ter
Doral, FL 33172
Phone (305) 801-6989

1721 Main St
Dunedin, FL 34698
Phone (727) 734-5276

12420 130th Ave N
Largo, FL 33774
Phone (727) 587-7729

7550 43rd St N
Pinellas Park, FL 33781
Phone (727) 290-4222

4950 34th St N
St Petersburg, FL 33714

612 Dr Martin Luther King Jr St N
St Petersburg, FL 33705

1344 22nd St S
St Petersburg, FL 33712
Phone (727) 821-6701

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

247 S Huey Ave
Tarpon Springs, FL 34689
Phone (727) 944-3828

Organizations & group practices 3

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 1

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": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1609249168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10549",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337330549",
            "telephone_number": "727-824-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 S HUEY AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346894205",
            "telephone_number": "727-824-8181",
            "fax_number": "727-939-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPRISIU",
        "first_name": "JESSICA",
        "middle_name": "LILAH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP 9406107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "08DSU",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.