Individual provider Active NPI

Jenelle Marie Suleyman, APRN, FNP-C

  • Family Nurse Practitioner
  • Crystal River, FL
National Provider Identifier
1760262000
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029748 Issued in FL
Practice address
717 NE 5TH St
Crystal River, FL 34429
Phone
(352) 212-7910
Fax
(352) 204-1449
NPI assigned
Oct 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN9435912 FL
Family Nurse Practitioner 363LF0000X APRN11029748 FL Primary

Addresses

Primary practice location

717 NE 5TH St
Crystal River, FL 34429

Mailing address

717 NE 5TH St
Crystal River, FL 34429-4325
Phone (352) 212-7910

Other practice location 1

92 Cypress Blvd W
Homosassa, FL 34446-4562
Phone (352) 765-4737

Other practice location 2

3542 S Suncoast Blvd
Homosassa, FL 34448-2327
Phone (813) 379-9620

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
I20231129003487 FL Practitioner - Nurse Practitioner 1153779210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9435912FLMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jsuleyman342220@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1760262000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 NE 5TH ST",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294325",
            "telephone_number": "352-212-7910",
            "fax_number": "352-204-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 NE 5TH ST",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "34429",
            "telephone_number": "352-212-7910",
            "fax_number": "352-204-1449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 Cypress Blvd W",
            "address_purpose": "LOCATION",
            "city": "Homosassa",
            "state": "FL",
            "postal_code": "344464562",
            "country_code": "US",
            "telephone_number": "352-765-4737",
            "fax_number": "352-503-6868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3542 S Suncoast Blvd",
            "address_purpose": "LOCATION",
            "city": "Homosassa",
            "state": "FL",
            "postal_code": "344482327",
            "country_code": "US",
            "telephone_number": "813-379-9620",
            "fax_number": "813-336-8651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULEYMAN",
        "first_name": "JENELLE",
        "middle_name": "MARIE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "RN9435912",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.