Individual provider Active NPI

Jacqueline Elizabeth Jenkins, APRN

  • Family Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1619562147
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11011460 Issued in FL
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

Updated by the provider on Apr 12, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211214000616 FL Practitioner - Nurse Practitioner 1355731985 Reassigns benefits to 9 organizations

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
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Pascarella Hoover Finkelstein and Wagner DPM PAGroup PAC ID 9436235645, 102 clinicians

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

LicenseStateTypeSpecialty
APRN11011460FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Health Partners, Inc. CurrentSince Sep 8, 2021 Accepting new patients
Williams Family Practice PLLC CurrentSince Feb 2, 2024 Accepting new patients
Adventhealth Primary Care Network Inc Family CurrentSince Nov 1, 2023 Accepting new patients
Sound Physicians of Florida IV, LLC CurrentSince Aug 1, 2023 Accepting new patients
Wellmed Medical Management of Florida Inc CurrentSince Jan 16, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince May 23, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince May 23, 2022 Accepting new patients
Sound Physicians of Florida IV, LLC CurrentSince Aug 1, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.