Individual provider Active NPI

Jean P Winfield, APN

  • Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1609861467
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9494502 Issued in FL
Practice address
5804 Indian Pines Blvd
Fort Pierce, FL 34951-2302
Phone
(772) 828-3752
NPI assigned
Sep 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9494502 FL Primary

Addresses

Primary practice location

5804 Indian Pines Blvd
Fort Pierce, FL 34951-2302

Mailing address

5804 Indian Pines Blvd
Fort Pierce, FL 34951-2302
Phone (772) 828-3752

Other identifiers 2

IdentifierTypeStateIssuer
428769608MedicaidMO
100459080AMedicaidKS

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
I20230727000465 FL Practitioner - Nurse Practitioner 0345433462 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9494502FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Solutions, LLC CurrentSince Jul 1, 2023 Accepting new patients
Southtown Womens Clinic LLC Past Accepting new patients

Locations

5804 Indian Pines Blvd
Fort Pierce, FL 34951
Phone (772) 203-1887

3663 15th Ave
Vero Beach, FL 32960
Phone (772) 567-2552

Organizations & group practices 2

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1609861467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 INDIAN PINES BLVD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349512302",
            "telephone_number": "772-828-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 INDIAN PINES BLVD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349512302",
            "telephone_number": "772-828-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINFIELD",
        "first_name": "JEAN",
        "middle_name": "P",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9494502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428769608",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100459080A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.