Active NPI
Jessica Walterhoefer, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2022014223
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307989900 | Medicaid | FL |
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
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9191340 | FL | MD | Pediatric Nurse Practitioner |
| 2022014223 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry of Texas PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Psychplus Medical Associates, PLLC | Current | Accepting new patients | |
| Harmony United Florida, LLC | Current | Accepting new patients | |
| Direct Access Counseling & Supportive Services, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Florida United Psych PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Harmony United Pennsylvania PLLC | Past | 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
- 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.
-
- Psychiatry Physician
- Winter Garden, FL
- NPI 1063842870
-
- Psychiatry Physician
- Houston, TX
- NPI 1013476027
FL, Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arcadia, FL
- NPI 1679011449
Psychiatric/Mental Health
-
- Psychiatry Physician
- Pottstown, PA
- NPI 1790637874
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.