Active NPI
Jenna Marie Matheny, APRN
- Family Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9269565
- Practice address
- 1694 W Hibiscus Blvd Ste A2
Melbourne, FL 32901-2636 - Phone
- (321) 327-2804
- Fax
- (833) 438-6390
- NPI assigned
- Sep 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9269565 | FL | Primary |
Addresses
Primary practice location
1694 W Hibiscus Blvd Ste A2
Melbourne, FL 32901-2636
Mailing address
1694 W Hibiscus Blvd
Melbourne, FL 32901-2636
Phone (321) 327-2804
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01165529 | Other | FL | FL RR MEDICARE |
| G0606Y | Other | FL | FL MEDICARE |
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 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501
1694 W Hibiscus Blvd
Melbourne, FL 32901-2636
Hospital & facility affiliations
- Health First Home Care
- Holmes Regional Medical Center
- Viera Hospital
- Palm Bay Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Florida, LLC | Current | Accepting new patients |
Locations
140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501
1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677
1223 Gateway Dr
Ste 1A
Melbourne, FL 32901
Phone (321) 434-6712
1223 Gateway Dr
Ste 1B
Melbourne, FL 32901
Phone (321) 312-3325
1694 W Hibiscus Blvd
Ste A2
Melbourne, FL 32901
Phone (321) 327-2804
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777
Interoperability endpoints
- jenna.matheny.2@8042.direct.athenahealth.com
Organizations & group practices 1
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.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Melbourne, FL
- NPI 1922006956
-
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1700136223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1694 W HIBISCUS BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012636",
"telephone_number": "321-327-2804",
"fax_number": "833-438-6390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1694 W HIBISCUS BLVD STE A2",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012636",
"telephone_number": "321-327-2804",
"fax_number": "833-438-6390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHENY",
"first_name": "JENNA",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9269565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL RR MEDICARE",
"identifier": "P01165529",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICARE",
"identifier": "G0606Y",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.