Active NPI
Jacqueline Elizabeth Jenkins, APRN
- Family Nurse Practitioner
- Apopka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11011460
- Practice address
- 201 N Park Ave Ste 105
Apopka, FL 32703-4147 - Phone
- (407) 889-1953
- Fax
- (407) 303-0845
- NPI assigned
- Mar 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11011460 | FL | Primary |
Addresses
Primary practice location
201 N Park Ave Ste 105
Apopka, FL 32703-4147
Mailing address
921 Woodlark Dr
Haines City, FL 33844-7746
Phone (904) 600-7217
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2014 S Orange Ave
Suite 100
Orlando, FL 32806-3069
Phone (407) 649-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11011460 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Health Partners, Inc. | Current | Accepting new patients | |
| Williams Family Practice PLLC | Current | Accepting new patients | |
| Adventhealth Primary Care Network Inc | Family | Current | Accepting new patients |
| Sound Physicians of Florida IV, LLC | Current | Accepting new patients | |
| Wellmed Medical Management of Florida Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Sound Physicians of Florida IV, LLC | Current | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040
201 N Park Ave
Ste 105
Apopka, FL 32703
Phone (407) 889-1039
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
8696 Vineland Ave
Orlando, FL 32821
Phone (321) 462-3526
5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509
1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300
2155 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-9630
3100 E Fletcher Ave
#C
Tampa, FL 33613
8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500
Interoperability endpoints
- jacqueline.jenkins.1@29135.direct.athenahealth.com
Organizations & group practices 12
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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1932887007
-
- Foot & Ankle Surgery Podiatrist
- Altamonte Springs, FL
- NPI 1740275635
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orlando, FL
- NPI 1821033903
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Internal Medicine Physician
- Palm Coast, FL
- NPI 1740633635
-
- Family Medicine Physician
- Port St Lucie, FL
- NPI 1033395397
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1235712415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1619562147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 WOODLARK DR",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338447746",
"telephone_number": "904-600-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N PARK AVE STE 105",
"city": "APOPKA",
"state": "FL",
"postal_code": "327034147",
"telephone_number": "407-889-1953",
"fax_number": "407-303-0845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "JACQUELINE",
"middle_name": "ELIZABETH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-05",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11011460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.