Individual provider Active NPI

Jenny Lynn Barr

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1629564380
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11024836 Issued in FL
Practice address
880 SW 145TH Ave
Pembroke Pines, FL 33027-6166
Phone
(866) 849-0692
NPI assigned
Jul 5, 2018
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP031527 PA
Family Nurse Practitioner 363LF0000X 0024195303 VA
Family Nurse Practitioner 363LF0000X 5021309 NC
Family Nurse Practitioner 363LF0000X 71016126A IN
Family Nurse Practitioner 363LF0000X APRN11024836 FL Primary
Family Nurse Practitioner 363LF0000X 73684 OH
Family Nurse Practitioner 363LF0000X 1168639 TX
Family Nurse Practitioner 363LF0000X 232365 AR
Family Nurse Practitioner 363LF0000X 2025001437 MO
Family Nurse Practitioner 363LF0000X 209031967 IL
Family Nurse Practitioner 363LF0000X 112531 NE
Family Nurse Practitioner 363LF0000X 907194 MS
Family Nurse Practitioner 363LF0000X 315901 AZ
Family Nurse Practitioner 363LF0000X 53-85535-042 KS
Family Nurse Practitioner 363LF0000X 37382 TN

Addresses

Primary practice location

880 SW 145TH Ave
Pembroke Pines, FL 33027-6166

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

30 Epic Blvd
St Augustine, FL 32086-6565
Phone (049) 217-3881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, FL, TX, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180803001526 NE Practitioner - Nurse Practitioner 8022366202 Reassigns benefits to 4 organizations
I20230719003330 FL Practitioner - Nurse Practitioner 8022366202 Reassigns benefits to 1 organization
I20241204001555 TX Practitioner - Nurse Practitioner 8022366202 Reassigns benefits to 1 organization
I20250106001711 AZ Practitioner - Nurse Practitioner 8022366202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1811 Blanding Blvd
Suite 101
Middleburg, FL 32068-3858

1811 Blanding Blvd
Suite 101
Middleburg, FL 32068-4935

PO Box
Suite 211699
Eagan, MN 55121

PO Box
Suite 211699
Eagan, MN 55121-3699

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232365ARMDFamily Nurse Practitioner
315901AZMDFamily Nurse Practitioner
APRN11024836FLMDFamily Nurse Practitioner
209031967ILMDFamily Nurse Practitioner
71016126AINMDFamily Nurse Practitioner
53-85535-042KSMDFamily Nurse Practitioner
2025001437MOMDFamily Nurse Practitioner
907194MSMDFamily Nurse Practitioner
5021309NCMDFamily Nurse Practitioner
SP031527PAMDFamily Nurse Practitioner
37382TNMDFamily Nurse Practitioner
0024195303VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harlan County Health System Current Accepting new patients
Avecina Medical PA CurrentSince Jun 1, 2023 Accepting new patients
Devoted Medical Group Professional Corporation CurrentSince Jul 5, 2024 Accepting new patients
Harlan County Health System CurrentSince Jul 1, 2023 Accepting new patients
Phelps Memorial Health Center Current Accepting new patients
Phelps Memorial Health Center CurrentSince Nov 18, 2022 Accepting new patients
Phelps Memorial Health Center CurrentSince Nov 18, 2022 Accepting new patients
Avecina Medical, PA CurrentSince Jun 1, 2023 Accepting new patients
Devoted Medical Group of Texas Inc CurrentSince Nov 27, 2024 Accepting new patients

Locations

16435 N Scottsdale Rd
Ste 285
Scottsdale, AZ 85254
Phone (520) 346-4431

1633 Race Track Rd
Ste 1
Jacksonville, FL 32259
Phone (904) 230-6988

4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372

880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (800) 338-6833

1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

717 Brown St
Alma, NE 68920
Phone (308) 928-2151

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (346) 768-8399

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1629564380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SW 145TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276166",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Epic Blvd",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320866565",
            "country_code": "US",
            "telephone_number": "049-217-3881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARR",
        "first_name": "JENNY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031527",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024195303",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021309",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016126A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024836",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "73684",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1168639",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "232365",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025001437",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209031967",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112531",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907194",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "315901",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-85535-042",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.