Jennifer Lyn Ayrey, APRN-C
Individual provider Active NPI Nurse Practitioner · Rockledge, FL
NPI 1821521261 · NPPES record last updated Apr 22, 2020
Key facts
- NPI
- 1821521261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 9238948 (FL)
- Practice address
- 1347 Gem Cir
Rockledge, FL 32955-6420 - Phone
- (321) 917-6788
- Fax
- (321) 284-8620
- NPI assigned
- Apr 4, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- LHCG CCX, LLC
Practice addresses (Care Compare)
1347 Gem Cir
Rockledge, FL 32955-6420
Phone (321) 917-6788
8060 Spyglass Hill Rd
Viera, FL 32940-7983
Phone (321) 806-1874
Hospital & facility affiliations
- Advanced Nursing Concepts LLC
- Holmes Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170822001913 | FL | Practitioner - Nurse Practitioner | 2062784374 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9238948 | FL | MD | Nurse Practitioner |
| ARNP9238948 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Brevard County Hospital District | Current |
Accepting new patients | |
| Priority House Calls LLC | Current |
Accepting new patients | |
| LHCG CCX, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Glomar Medical Inc. | Gerontology | Current |
Accepting new patients |
| Oahu Home Care LLC | Past |
Accepting new patients |
Locations
7365 Orchestra Ln
Melbourne, FL 32940
Phone (321) 253-7450
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
805 Century Medical Dr
Ste A
Titusville, FL 32796
Phone (321) 268-6870
8060 Spyglass Hill Rd
Viera, FL 32940
Phone (321) 253-2200
Interoperability endpoints
- https://api.platform.athenahealth.com/21491/brand/1/csg/1/fhir/r4
- jennifer.ayrey.1@21491.direct.athenahealth.com
- https://api.platform.athenahealth.com/23115/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9238948 | FL | Yes |
| Gerontology Nurse Practitioner | 363LG0600X | ARNP9238948 | FL |
Addresses
Primary practice location
1347 Gem Cir
Rockledge, FL 32955-6420
Mailing address
1347 Gem Cir
Rockledge, FL 32955-6420
Phone (321) 917-6788
Other practice location 1
805 Century Medical Dr
Suite A
Titusville, FL 32796-2100
Phone (321) 383-9393
Other practice location 2
1010 E New Haven Ave Ste B
Melbourne, FL 32901
Phone (855) 426-8074
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021228600 | Medicaid | FL |
Other names
- Ms. Jennifer Lyn Corbin
Other providers in Rockledge, FL
- Audiology Services Company USA, LLC
- Courtney Jayne Austin
- Meagan Kathleen Austin
- Avanthi Kopuri, DMD, MSD, Mha, PLLC
- Margeths Ayala-Cruz
- Nabil Aziz
- Debra L Babcock
- Kathleen Margaret Babineau
- Sarah Jeanette Bachmaier
- Backonpoint Health and Wellness
All providers in Rockledge, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.