Jennifer Tinelli, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9377065 Issued in FL

Practice address

145 Palm Bay Rd NE Ste 120
West Melbourne, FL 32904-8601

Phone

(407) 384-4904

NPI assigned

Nov 25, 2014

Last updated

Aug 28, 2024By 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 2

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clow Integrated Medical Center PAGroup PAC ID 8820529118, 4 clinicians

H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Clow Integrated Medical Center PA

  dba Cimc

  • Nurse Practitioner
  • West Melbourne, FL
  • NPI 1134961287
  Medicare reassignment Care Compare group NPD
• Space Coast Corporate Health Service P a

  • Chiropractor
  • Melbourne, FL
  • NPI 1356334718
  NPD

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1659778215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 FOSTORIA DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401511",
            "telephone_number": "310-482-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PALM BAY RD NE STE 120",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048601",
            "telephone_number": "407-384-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINELLI",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21267",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9377065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Thaver, MD
• The Healing Path, Family Counseling Center, Inc.
• The Refinery Medspa and Wellnes, LLC
• Danielle Thibeault
• Nikeya M Thomas, RDN, LDN
• Robert Scott Tomerlin, PHARM.D
• Damaris Torres, MA, LMHC
• Michelle Anne Travis, OTR
• Pamela Kay Treadwell
• Trenton Victor Treadwell, PHARMD

• Family Nurse Practitioner in West Melbourne, FL
• Providers in West Melbourne, 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 Aug 28, 2024; 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.