Active NPI
Jennilee Lauran Acton, APRN
- Gerontology Nurse Practitioner
- Temple Terrace, FL
National Provider Identifier
1811538440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11003990
- Practice address
- 12470 Telecom Dr Ste 100
Temple Terrace, FL 33637-0904 - Phone
- (813) 779-6303
- Fax
- (888) 977-1998
- NPI assigned
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11003990 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN11003990 | FL | Primary |
Addresses
Primary practice location
12470 Telecom Dr Ste 100
Temple Terrace, FL 33637-0904
Mailing address
12470 Telecom Dr Ste 100
Temple Terrace, FL 33637-0904
Phone (813) 779-6303
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11003990 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Adventist Health System-Sunbelt Inc | Past | Accepting new patients |
Locations
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
12470 Telecom Dr
Ste 100
Temple Terrace, FL 33637
Phone (813) 929-5454
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 2
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
- Tampa, FL
- NPI 1174955256
Nurse Practitioner
-
- Internal Medicine Physician
- Sebring, FL
- NPI 1164698809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1811538440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12470 TELECOM DR STE 100",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370904",
"telephone_number": "813-779-6303",
"fax_number": "888-977-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12470 TELECOM DR STE 100",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370904",
"telephone_number": "813-779-6303",
"fax_number": "888-977-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACTON",
"first_name": "JENNILEE",
"middle_name": "LAURAN",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11003990",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11003990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.