Individual provider Active NPI

Jessica Walterhoefer, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lutz, FL
National Provider Identifier
1699845321
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2022014223 Issued in FL
Practice address
2816 Cypress Bowl Rd
Lutz, FL 33558-5037
Phone
(813) 263-9871
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP9191340 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022014223 FL Primary

Addresses

Primary practice location

2816 Cypress Bowl Rd
Lutz, FL 33558-5037

Mailing address

2816 Cypress Bowl Rd
Lutz, FL 33558-5037
Phone (813) 263-9871

Other practice location 1

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (813) 263-9871

Other identifiers 1

IdentifierTypeStateIssuer
307989900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240528000155 FL Practitioner - Mental Health Counselor 8628410313 Reassigns benefits to 1 organization
I20240805001896 FL Practitioner - Nurse Practitioner 8628410313 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Florida College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harmony United Florida, LLCGroup PAC ID 9638306673, 86 clinicians
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

23532 State Rd
Suite 54
Lutz, FL 33559-6753
Phone (800) 457-4573

4700 N Habana Ave
Suite 601
Tampa, FL 33614-7160
Phone 8328694818235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9191340FLMDPediatric Nurse Practitioner
2022014223FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Mar 4, 2025 Accepting new patients
Harmony United Florida, LLC CurrentSince Jun 19, 2025 Accepting new patients
Direct Access Counseling & Supportive Services, LLC Psychiatric/Mental Health CurrentSince Apr 16, 2024 Accepting new patients
Florida United Psych PLLC Psychiatric/Mental Health CurrentSince Nov 5, 2025 Accepting new patients
Harmony United Pennsylvania PLLC PastSince Jun 19, 2025 Accepting new patients

Locations

250 2nd St E
Ste 4C
Bradenton, FL 34208
Phone (941) 744-5860

6700 Winkler Rd
Ste 4
Fort Myers, FL 33919
Phone 8328694818 ext. 235

23532 State Road 54
Lutz, FL 33559
Phone (813) 909-1600

3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100

5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427

4700 N Habana Ave
Ste 601
Tampa, FL 33614
Phone (201) 706-1143

5 Harvard Cir
Ste 205
West Palm Beach, FL 33409

15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Interoperability endpoints

  • Direct secure messaging: jessica.walterhoefer@harmonyhealthcare.medentdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1699845321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 CYPRESS BOWL RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585037",
            "telephone_number": "813-263-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 CYPRESS BOWL RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585037",
            "telephone_number": "813-263-9871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "813-263-9871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERHOEFER",
        "first_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9191340",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "2022014223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307989900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.