Individual provider Active NPI

Jocelyne Blanc, ARNP

  • Family Nurse Practitioner
  • Palm Springs, FL
National Provider Identifier
1649561747
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9245378 Issued in FL
Practice address
2135 S Congress Ave Ste 4a
Suite 4a
Palm Springs, FL 33406-7611
Phone
(561) 965-6333
Fax
(866) 678-3710
NPI assigned
Apr 22, 2011
Last updated
Dec 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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 ARNP9245378 FL Primary

Addresses

Primary practice location

2135 S Congress Ave Ste 4a
Suite 4a
Palm Springs, FL 33406-7611

Mailing address

2135 S Congress Ave Ste 4a
Suite 4a
Palm Springs, FL 33406-7611
Phone (561) 965-6333

Other identifiers 3

IdentifierTypeStateIssuer
013306500OtherFLGROUP MEDICAID
009354500MedicaidFL
HY631AOtherFLGROUP MEDICARE

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
I20110916000019 FL Practitioner - Nurse Practitioner 2961673223 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9245378FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Hearts Family Medical Centers, LLC CurrentSince Jul 15, 2014 Accepting new patients
JFK Internal Medicine Faculty Practice, LLC Past Accepting new patients

Locations

2135 S Congress Ave
Ste 4A
Palm Springs, FL 33406
Phone (561) 719-5085

8980 S US Highway 1
Ste 100
Port St Lucie, FL 34952
Phone (772) 249-3938

Organizations & group practices 4

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": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1649561747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 S CONGRESS AVE STE 4A",
            "address_2": "SUITE 4A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067611",
            "telephone_number": "561-965-6333",
            "fax_number": "866-678-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 S CONGRESS AVE STE 4A",
            "address_2": "SUITE 4A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067611",
            "telephone_number": "561-965-6333",
            "fax_number": "866-678-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANC",
        "first_name": "JOCELYNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9245378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "013306500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009354500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "HY631A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.