Jessica L Fong

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11029103 Issued in FL

Practice address

1250 N Vantage Point Dr
Crystal River, FL 34429-5736

Phone

(352) 795-0644

NPI assigned

Oct 9, 2023

Last updated

Oct 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meadowcrest Family Physicians PAGroup PAC ID 5597784199, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Citrus Hospital Hospital, Inverness, FL, CCN 100023
• Tampa General Hospital Crystal River Hospital, Crystal River, FL, CCN 100249

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73059

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.

• Meadowcrest Family Physicians, P.a.

  • Family Medicine Physician
  • Crystal River, FL
  • NPI 1396981528
  Medicare reassignment Care Compare group NPD
• Meadowcrest Family Physicians, P.a.

  • Rural Health Clinic/Center
  • Lecanto, FL
  • NPI 1528881851
  NPD
• Meadowcrest Family Practice PA

  • Family Medicine Physician
  • Crystal River, FL
  • NPI 1831233816
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Citrus Memorial Hospital, Inc.

  dba HCA Florida Citrus Hospital

  • General Acute Care Hospital
  • Inverness, FL
  • NPI 1750780342
  Care Compare affiliation
• Tampa General Hospital Citrus LLC

  dba Tampa General Hospital Crystal River

  • General Acute Care Hospital
  • Crystal River, FL
  • NPI 1407637531
  Care Compare affiliation

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1629859335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S OSCEOLA ST",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653650",
            "telephone_number": "352-598-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 N VANTAGE POINT DR",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344295736",
            "telephone_number": "352-795-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "JESSICA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malissa Field Watson, PHARM.D.
• Kristen Anne Fisher, PA
• Scott R Fisher, MD
• Ursula G Fletcher
• Florida Caregivers, Inc.
• Ellen Fowler
• Samuel Dean Fox, M.D.
• Jon P. Frankel, MD
• Antoinette Yvette Frussinetty, DNP, APRN, FNP-BC
• Sally Hodges Fuller, PHARMACIST

• Family Nurse Practitioner in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.

Verify at the official NPI Registry.