Jennie Rabenold, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11013684 Issued in FL

Practice address

3847 Featherstone CT
Middleburg, FL 32068-4169

Phone

(904) 599-9085

NPI assigned

Oct 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ameriwound Physicians FL LLCGroup PAC ID 2769967207, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jrabenold@thewoundpros.com

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.

• Ameriwound Physicians FL LLC

  • General Practice Physician
  • Tampa, FL
  • NPI 1194562603
  Medicare reassignment Care Compare group
• Transitions Healthcare LLC

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1821707407
  Medicare reassignment NPD
• Global Wound Care Medical Group

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1235831132
  NPD

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1760107940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3847 FEATHERSTONE CT",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320684169",
            "telephone_number": "904-599-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3847 FEATHERSTONE CT",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320684169",
            "telephone_number": "904-599-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABENOLD",
        "first_name": "JENNIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jrabenold@thewoundpros.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "The Wound Pros, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1705 Sanctuary Way",
            "city": "Fleming Island",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320034986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer L Pritchett, LMHC
• Professional Home Care Solutions, Inc
• Publix Super Markets Inc
• Pullmonary and Critical Care Associates
• Pulmonary and Sleep Medicine of Clay, PLLC
• Shayla Ranger, LMHC
• Jennifer Lynn Rasey, LPN, LMT
• Kattie Ray, RN
• Tracy Reale
• Rebound Rehabilitative Services Inc

• Family Nurse Practitioner in Middleburg, FL
• Providers in Middleburg, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.

Verify at the official NPI Registry.