Active NPI
Jessica Jo Dean, APRN, CNM
- Advanced Practice Midwife
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- ARNP9349120
- Practice address
- 301 Health Park Blvd Ste 219
St Augustine, FL 32086-5795 - Phone
- (904) 819-9898
- Fax
- (904) 819-9594
- NPI assigned
- May 28, 2015
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | ARNP9349120 | FL | |
| Advanced Practice Midwife | 367A00000X | ARNP9349120 | FL | Primary |
Addresses
Primary practice location
301 Health Park Blvd Ste 219
St Augustine, FL 32086-5795
Mailing address
PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033
Other practice location 1
13241 Bartram Park Blvd Unit 1509
Jacksonville, FL 32258-5231
Phone (904) 680-0055
Other practice location 2
6410 Beach Blvd
Jacksonville, FL 32216-2813
Phone (904) 493-6963
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LF617 | Other | FL | MEDICARE |
| 015029600 | 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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Health Park Blvd
Suite 219
St Augustine, FL 32086-5795
Phone (904) 819-9898
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9349120 | FL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women's Care Florida LLC | Nurse Practitioner | Current | Accepting new patients |
| Womens' Health Hospitalists, LLC | Current | Accepting new patients | |
| DHP of Manatee PA | Current | Accepting new patients |
Locations
1411 S 14th St
Ste D
Fernandina Beach, FL 32034
Phone (904) 321-0064
13241 Bartram Park Blvd
Unit 1509
Jacksonville, FL 32258
Phone (904) 680-0055
6410 Beach Blvd
Jacksonville, FL 32216
Phone (904) 493-6963
2525 Riverside Ave
Jacksonville, FL 32204
Phone (904) 388-0704
301 Health Park Blvd
Ste 219
St Augustine, FL 32086
Phone (904) 819-9898
1680 Osceola Elementary Rd
Ste A
St Augustine, FL 32084
Phone (904) 284-5386
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
5002 W Lemon St
Tampa, FL 33609
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010
200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652
Interoperability endpoints
- jessica.dean@wcfnf.eclinicaldirectplus.com
- jdean742734@direct.shands.ufl.edu
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
Nurse Practitioner
-
- Obstetrics & Gynecology Physician
- Mangonia Park, FL
- NPI 1134771611
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1720467350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748817",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748817",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HEALTH PARK BLVD STE 219",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865795",
"telephone_number": "904-819-9898",
"fax_number": "904-819-9594"
}
],
"practiceLocations": [
{
"address_1": "13241 Bartram Park Blvd Unit 1509",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322585231",
"country_code": "US",
"telephone_number": "904-680-0055",
"fax_number": "904-524-8350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6410 Beach Blvd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322162813",
"country_code": "US",
"telephone_number": "904-493-6963",
"fax_number": "904-396-2464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEAN",
"first_name": "JESSICA",
"middle_name": "JO",
"credential": "APRN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "ARNP9349120",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "ARNP9349120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "LF617",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015029600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.