Jan Denice Phelps, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1851392 Issued in FL

Practice address

2553 Mason Oaks Dr
Valrico, FL 33596-6498

Phone

(813) 940-6046

Fax

(866) 451-4607

NPI assigned

Aug 30, 2006

Last updated

Jul 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Joanna Mulder NP IncGroup PAC ID 2264707389, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Tampa, FL, CCN 109689

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.

• Joanna Mulder NP Inc

  • Nurse Practitioner
  • Riverview, FL
  • NPI 1144756172
  Medicare reassignment Care Compare group NPD
• Lifelink Healthcare Institute Inc

  • Transplant Surgery Physician
  • Tampa, FL
  • NPI 1093732786
  NPD (past)

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

• Eh Home Health of the Southeast, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Tampa, FL
  • NPI 1558777102
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1669582821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 MASON OAKS DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966498",
            "telephone_number": "813-940-6046",
            "fax_number": "866-451-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2553 MASON OAKS DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966498",
            "telephone_number": "813-940-6046",
            "fax_number": "866-451-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "JAN",
        "middle_name": "DENICE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1851392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BUSINESS",
            "identifier": "1326237850",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305568000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669582821",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1851392",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Matthew Petro
• James Michael Petro, O.D.
• Sara Michele Pfeifer
• Kim Oanh Pham, PTA
• Tony Nguyen Pham, O.D.
• Cheryl Marie Phillips, APN
• Jessica O'Keefe Pierce, OD
• Play Together Speech Therapy LLC
• Katherine Blaire Pollak Fell, PSY.D
• Brittney Poole Gurski

• Family Nurse Practitioner in Valrico, FL
• Providers in Valrico, 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 Jul 27, 2021; 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.