Individual provider Active NPI

Jane E Kienle, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Pinellas Park, FL
National Provider Identifier
1740398676
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME59635 Issued in FL
Practice address
4820 Park Blvd N
Pinellas Park, FL 33781-3534
Phone
(727) 345-1313
Fax
(727) 345-0166
NPI assigned
Aug 29, 2006
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME59635 FL Primary

Addresses

Primary practice location

4820 Park Blvd N
Pinellas Park, FL 33781-3534

Mailing address

PO Box 20912
Tampa, FL 33622-0912
Phone (727) 345-1313

Other names 1

  • Jane Kienle Kramer Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000081 FL Practitioner - Geriatric Medicine 2365417755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Wake Forest University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dean a Bramlet M D P aGroup PAC ID 3577652304, 2 clinicians

Practice addresses (Care Compare)

4820 Park Blvd N
Pinellas Park, FL 33781-3534
Phone (727) 345-1313

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dean a Bramlet M D P a CurrentSince Jun 18, 2007 Accepting new patients
Aspen Medical Care, PC Past Accepting new patients

Locations

4820 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 209-6677

7111 1st Ave S
St Petersburg, FL 33707
Phone (727) 345-1313

Organizations & group practices 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1740398676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20912",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336220912",
            "telephone_number": "727-345-1313",
            "fax_number": "727-345-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 PARK BLVD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813534",
            "telephone_number": "727-345-1313",
            "fax_number": "727-345-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIENLE",
        "first_name": "JANE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME59635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "KRAMER",
            "middle_name": "KIENLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.