Individual provider Active NPI

Jenny Patricia Despujos Sr., APRN

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1609608686
Registry record updated Aug 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11034745 Issued in FL
Practice address
131 S Federal Hwy Apt 432
Boca Raton, FL 33432-4951
Phone
(786) 651-1058
NPI assigned
Aug 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2024

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 APRN11034745 FL Primary

Addresses

Primary practice location

131 S Federal Hwy Apt 432
Boca Raton, FL 33432-4951

Mailing address

131 S Federal Hwy Apt 432
Boca Raton, FL 33432-4951
Phone (786) 651-1058

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
I20250526000022 FL Practitioner - Nurse Practitioner 9537688353 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11034745FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC CurrentSince Feb 21, 2025 Accepting new patients

Locations

880 NW 13th St
Ste 300
Boca Raton, FL 33486

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

180 SW 84th Ave
Plantation, FL 33324
Phone (954) 271-2855

Interoperability endpoints

  • Direct secure messaging: jenny.despujos@wwmp.eclinicaldirectplus.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1609608686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S FEDERAL HWY APT 432",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324951",
            "telephone_number": "786-651-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S FEDERAL HWY APT 432",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324951",
            "telephone_number": "786-651-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESPUJOS",
        "first_name": "JENNY",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "name_suffix": "Sr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-17",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.