Active NPI
Jennifer Ann Haas, APRN
- Family Nurse Practitioner
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9378664
- Practice address
- 13813 Metro Pkwy
Fort Myers, FL 33912-4343 - Phone
- (239) 938-1717
- Fax
- (239) 985-9634
- NPI assigned
- Dec 19, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9378664 | FL | Primary |
Addresses
Primary practice location
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other practice location 1
13861 Plantation Rd
Ste 104
Fort Myers, FL 33912-4342
Phone (239) 225-1306
Other practice location 2
6150 Diamond Center Ct Unit 1003
Fort Myers, FL 33912-7135
Phone (239) 245-7909
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9378664 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Fort Myers Internal Medicine LLC | Current | Accepting new patients |
Locations
1528 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 458-3338
13813 Metro Pkwy
Fort Myers, FL 33912
Phone (239) 936-1343
13861 Plantation Rd
Ste 104
Fort Myers, FL 33912
Phone (239) 225-1306
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/5830/brand/1/csg/1/fhir/r4
- jennifer.haas.1@4290.direct.athenahealth.com
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1346588621
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1740601608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774",
"fax_number": "239-985-9637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13813 METRO PKWY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124343",
"telephone_number": "239-938-1717",
"fax_number": "239-985-9634"
}
],
"practiceLocations": [
{
"address_1": "13861 PLANTATION RD",
"address_2": "STE 104",
"address_purpose": "LOCATION",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124342",
"country_code": "US",
"telephone_number": "239-225-1306",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6150 Diamond Center Ct Unit 1003",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339127135",
"country_code": "US",
"telephone_number": "239-245-7909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAAS",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-19",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9378664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.