Individual provider Active NPI

Natalie L Jenkins, ARNPC MSN

  • Nurse Practitioner
  • Davenport, FL
National Provider Identifier
1780674150
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9182461 Issued in FL
Practice address
2205 North Blvd W
Davenport, FL 33837-8933
Phone
(407) 846-7546
Fax
(321) 206-5419
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9182461 FL Primary

Addresses

Primary practice location

2205 North Blvd W
Davenport, FL 33837-8933

Mailing address

PO Box 690609
Orlando, FL 32869-0609
Phone (407) 846-7546

Other identifiers 1

IdentifierTypeStateIssuer
007854900MedicaidFL

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
I20110623000618 FL Practitioner - Nurse Practitioner 4183802085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Dermatology, IncGroup PAC ID 1355334863, 20 clinicians

Practice addresses (Care Compare)

2205 N W Blvd
Davenport, FL 33837-8990
Phone (407) 846-7546

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Dermatology Inc CurrentSince May 15, 2003 Accepting new patients

Locations

106 Boston Ave
Ste 100
Altamonte Springs, FL 32701
Phone (407) 682-7686

531 Wekiva Commons Cir
Apopka, FL 32712
Phone (407) 464-0194

400 Celebration Pl
#A12
Celebration, FL 34747

1655 E Highway 50
Ste 201
Clermont, FL 34711

2205 North Blvd W
Davenport, FL 33837
Phone (800) 827-7546

1132 Cypress Glen Cir
Kissimmee, FL 34741
Phone (407) 343-4700

400 Celebration Pl
Ste A120
Kissimmee, FL 34747
Phone (407) 228-8066

725 E Oak St
Kissimmee, FL 34744
Phone (407) 846-1234

2060 N Donnelly St
Mount Dora, FL 32757
Phone (352) 383-7703

530 Ocoee Commerce Pkwy
Ocoee, FL 34761
Phone (407) 827-7546

7824 Lake Underhill Rd
Ste J
Orlando, FL 32822
Phone (407) 273-4848

339 Cypress Pkwy
Ste 110
Poinciana, FL 34759
Phone (407) 343-5000

3106 17th St
Saint Cloud, FL 34769

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1780674150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690609",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328690609",
            "telephone_number": "407-846-7546",
            "fax_number": "321-206-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 NORTH BLVD W",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378933",
            "telephone_number": "407-846-7546",
            "fax_number": "321-206-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "NATALIE",
        "middle_name": "L",
        "credential": "ARNPC MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9182461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007854900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.