Jennifer Perez, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

58636 Issued in WV

Practice address

91500 Overseas Hwy
Tavernier, FL 33070-2547

Phone

(305) 434-3600

NPI assigned

Sep 1, 2011

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

JC Edwards School of Medicine, Marshall University, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shi Keys LLCGroup PAC ID 2163835513, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mariners Hospital Hospital, Tavernier, FL, CCN 101313

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.angelilli.1@2833.direct.athenahealth.com

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.

• Shi Keys LLC

  • Emergency Medicine Physician
  • Tavernier, FL
  • NPI 1952903536
  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  NPD
• Gulfstream Emergency Physicians

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1447428438
  NPD (past)
• The Medical Center at Ocean Reef

  • Clinic/Center
  • Key Largo, FL
  • NPI 1730268202
  NPD (past)
• Bestpractices of West Virginia, Inc.

  • Emergency Medicine Physician
  • Parkersburg, WV
  • NPI 1245284421
  NPD (past)

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

• Mariners Hospital, Inc

  • Critical Access Hospital
  • Tavernier, FL
  • NPI 1518941806
  Care Compare affiliation

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1679854806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SW 73RD ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434679",
            "telephone_number": "786-662-0451",
            "fax_number": "786-662-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91500 OVERSEAS HWY",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702547",
            "telephone_number": "305-434-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3663 S Miami Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334253",
            "country_code": "US",
            "telephone_number": "305-285-2172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "58636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Francis Papp, M.D.
• Arlenis De la Caridad Pardo Perez
• Pediatric Therapy Support LLC
• Matthew Peil
• Marilyn Penuela-Ladaga, ARNP
• Tania Leandra Placencia, PA
• Plantation Key Care and Rehabilitation Center LLC
• Plantation Key Convalescent Center Inc
• Plantation Key Operating Company, LLC
• Annie Catherine Plate, M.D.

• Nurse Practitioner in Tavernier, FL
• Providers in Tavernier, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.