Individual provider Active NPI

Jennifer Ellen Hanle, AGPCNP

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1649946658
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R186679 Issued in MD
Practice address
2 Tampa General Cir FL 3
Tampa, FL 33606-3571
Phone
(813) 844-7585
NPI assigned
Aug 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R186679 MD Primary

Addresses

Primary practice location

2 Tampa General Cir FL 3
Tampa, FL 33606-3571

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (813) 277-8852

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhanle252489@direct.tgh.org Health Information Exchange (HIE)

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
I20230209000065 FL Practitioner - Nurse Practitioner 1557759131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

2 Tampa General Cir
FL 3
Tampa, FL 33606-3571
Phone (813) 844-7585

Hospital & facility affiliations

  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc CurrentSince Oct 17, 2022 Accepting new patients
Cancer Center of South Florida PLLC Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc Current Accepting new patients
Cancer Center of South Florida PLLC CurrentSince Oct 17, 2022 Accepting new patients
Tampa General Medical Group Inc CurrentSince Oct 17, 2022 Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

3140 S Falkenburg Rd
Ste 104
Riverview, FL 33578
Phone 8133560196 ext. 1042

3140 S Falkenburg Rd
Ste 301
Riverview, FL 33578
Phone (813) 844-4600

3140 S Falkenburg Rd
Riverview, FL 33578
Phone (813) 578-2844

2 Tampa General Cir
Fl 3
Tampa, FL 33606
Phone (813) 259-0600

10740 Palm River Rd
Ste 360
Tampa, FL 33619
Phone (813) 660-6400

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1649946658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289",
            "telephone_number": "813-277-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TAMPA GENERAL CIR FL 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "813-844-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLE",
        "first_name": "JENNIFER",
        "middle_name": "ELLEN",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R186679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhanle252489@direct.tgh.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2 Tampa General Cir Fl 3",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.