Individual provider Active NPI

Jeanette Anastacia Reyes, APRN

  • Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1811241029
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9241675 Issued in FL
Practice address
931 SE Ocean Blvd Ste a
Stuart, FL 34994-2425
Phone
(772) 888-1880
NPI assigned
Nov 9, 2012
Last updated
Jun 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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 ARNP9241675 FL Primary

Addresses

Primary practice location

931 SE Ocean Blvd Ste a
Stuart, FL 34994-2425

Mailing address

931 SE Ocean Blvd Ste a
Stuart, FL 34994-2425
Phone (772) 888-1880

Other practice location 1

2221 SE Ocean Blvd
Suite 300
Stuart, FL 34996-3341
Phone (772) 220-8459

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
I20121219000427 FL Practitioner - Nurse Practitioner 8022260025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independence Ear, Nose and Throat LLCGroup PAC ID 1254680481, 9 clinicians

Practice addresses (Care Compare)

1400 NW Federal Hwy
Stuart, FL 34994-1020
Phone (772) 888-1880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.38 of 100Reported as group
Quality
81.3
Improvement activities
40
Cost
72.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9241675FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Ear, Nose & Throat, LLC CurrentSince Oct 1, 2018 Accepting new patients

Locations

2221 SE Ocean Blvd
Ste 300
Stuart, FL 34996
Phone (772) 220-8459

931 SE Ocean Blvd
Ste A
Stuart, FL 34994
Phone (772) 283-3820

1400 NW US 1
Stuart, FL 34994
Phone (772) 888-1880

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEFDCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1811241029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 SE OCEAN BLVD STE A",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942425",
            "telephone_number": "772-888-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 SE OCEAN BLVD STE A",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942425",
            "telephone_number": "772-888-1880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 SE Ocean Blvd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349963341",
            "country_code": "US",
            "telephone_number": "772-220-8459",
            "fax_number": "772-600-1744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "JEANETTE",
        "middle_name": "ANASTACIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9241675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.