Individual provider Active NPI

Jill Pernigotti Adera, D.O

  • Family Medicine Physician
  • Inverness, FL
National Provider Identifier
1821186339
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9138 Issued in FL
Practice address
227 Ella Ave
Inverness, FL 34450-3911
Phone
(352) 341-2800
Fax
(352) 341-2900
NPI assigned
Oct 10, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS9138 FL Primary

Addresses

Primary practice location

227 Ella Ave
Inverness, FL 34450-3911

Mailing address

PO Box 2532
Inverness, FL 34451-2532
Phone (352) 341-2800

Other identifiers 8

IdentifierTypeStateIssuer
1821186339OtherFLNPI
372203OtherFLHE LEC
5935028431021OtherFLTRICARE
21252405225OtherFLBEECH STREET
373178OtherFLHE CR
273658600MedicaidFL
372203OtherFLHE INV
52152OtherFLBCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070517000738 FL Practitioner - Family Practice 4880791326 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS9138FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adera & Adera PA Family Medicine CurrentSince Feb 15, 2009 Accepting new patients
Florida Department of Health Past Accepting new patients
St. Luke's Warren Physician Group, PC Past Accepting new patients

Locations

227 Ella Ave
Inverness, FL 34450
Phone (352) 341-2800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1821186339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2532",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344512532",
            "telephone_number": "352-341-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 ELLA AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344503911",
            "telephone_number": "352-341-2800",
            "fax_number": "352-341-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADERA",
        "first_name": "JILL",
        "middle_name": "PERNIGOTTI",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-03-07",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821186339",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HE LEC",
            "identifier": "372203",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "5935028431021",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "21252405225",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HE CR",
            "identifier": "373178",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273658600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HE INV",
            "identifier": "372203",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52152",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.