Individual provider Active NPI

Jennifer Lee Collins, CNM

  • Advanced Practice Midwife
  • Orlando, FL
National Provider Identifier
1740241694
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP9371409 Issued in FL
Practice address
70 W Gore St
Orlando, FL 32806-1124
Phone
(321) 842-3765
Fax
(321) 842-3787
NPI assigned
Mar 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP9371409 FL Primary
Obstetrics & Gynecology Physician 207V00000X ARNP9371409 FL

Addresses

Primary practice location

70 W Gore St
Orlando, FL 32806-1124

Mailing address

661 E Altamonte Dr Ste 328
Altamonte Springs, FL 32701-5103
Phone (407) 303-5204

Other identifiers 1

IdentifierTypeStateIssuer
011676800MedicaidFL

Other names 1

  • Ms. Jennifer Lee Gage Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address providerenrollment@orlandohealth.com

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
I20140710001916 FL Practitioner - Certified Nurse Midwife (CNM) 2961430178 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1414 Kuhl Ave
Orlando, FL 32806-2008
Phone (407) 841-5111

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
2649SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC Obstetrics & Gynecology CurrentSince Jun 1, 2014 Accepting new patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince May 11, 2015 Accepting new patients
Orlando Health Medical Group Inc Obstetrics & Gynecology CurrentSince Jun 1, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince May 11, 2015 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jun 1, 2022 Accepting new patients

Locations

661 E Altamonte Dr
Ste 328
Altamonte Springs, FL 32701
Phone (407) 303-2158

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

2102 Trinity Oaks Blvd
#171
Trinity, FL 34655
Phone (727) 376-7734

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jcollins377268@orlandohealth.medalliesdirect.net

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, 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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1740241694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR STE 328",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015103",
            "telephone_number": "407-303-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W GORE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061124",
            "telephone_number": "321-842-3765",
            "fax_number": "321-842-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP9371409",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP9371409",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011676800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "providerenrollment@orlandohealth.com",
            "affiliation": "N",
            "address_1": "70 W Gore St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328061124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GAGE",
            "middle_name": "LEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.