Individual provider Active NPI

Jennifer C Jean, APRN

  • Nurse Practitioner
  • Atlantis, FL
National Provider Identifier
1720813389
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11042277 Issued in FL
Practice address
130 John F Kennedy Dr Ste 136
Atlantis, FL 33462-6631
Phone
(561) 919-0090
NPI assigned
Sep 4, 2024
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9506400 FL
Nurse Practitioner 363L00000X 11042277 FL Primary

Addresses

Primary practice location

130 John F Kennedy Dr Ste 136
Atlantis, FL 33462-6631

Mailing address

130 John F Kennedy Dr Ste 136
Atlantis, FL 33462-6631
Phone (561) 919-0090

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251114002458 FL Practitioner - Nurse Practitioner 3678064912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15645 SW 90TH Ter
Miami, FL 33196-1161

5305 Greenwood Ave
Suite 204
West Palm Beach, FL 33407-2449

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9506400FLMDRegistered Nurse
11042277FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiovascular Consultants LLC CurrentSince Oct 8, 2025 Accepting new patients

Locations

5305 Greenwood Ave
Ste 204
West Palm Beach, FL 33407
Phone (561) 832-8886

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18542/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1720813389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 JOHN F KENNEDY DR STE 136",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626631",
            "telephone_number": "561-919-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JOHN F KENNEDY DR STE 136",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626631",
            "telephone_number": "561-919-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9506400",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11042277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.