Individual provider Active NPI

Jessica Jo Dean, APRN, CNM

  • Advanced Practice Midwife
  • St Augustine, FL
National Provider Identifier
1720467350
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP9349120 Issued in FL
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

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LF617OtherFLMEDICARE
015029600MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150824000681 FL Practitioner - Certified Nurse Midwife (CNM) 2769797539 Reassigns benefits to 3 organizations

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
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

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

LicenseStateTypeSpecialty
ARNP9349120FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC Nurse Practitioner CurrentSince Mar 1, 2019 Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince Mar 1, 2019 Accepting new patients
DHP of Manatee PA CurrentSince Aug 1, 2020 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

  • Direct secure messaging: jessica.dean@wcfnf.eclinicaldirectplus.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.