Individual provider Active NPI

Jennifer Lyn Ayrey, APRN-C

  • Nurse Practitioner
  • Rockledge, FL
National Provider Identifier
1821521261
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9238948 Issued in FL
Practice address
1347 Gem Cir
Rockledge, FL 32955-6420
Phone
(321) 917-6788
Fax
(321) 284-8620
NPI assigned
Apr 4, 2017
Last updated
Apr 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9238948 FL Primary
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 names 1

  • Ms. Jennifer Lyn Corbin Former name

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
I20170822001913 FL Practitioner - Nurse Practitioner 2062784374 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHCG CCX, LLCGroup PAC ID 2163812272, 2 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9238948FLMDNurse Practitioner
ARNP9238948FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Brevard County Hospital District CurrentSince May 25, 2017 Accepting new patients
Glomar Medical Inc. Gerontology CurrentSince Jan 1, 2022 Accepting new patients
LHCG CCX, LLC Nurse Practitioner CurrentSince Feb 20, 2023 Accepting new patients
Priority House Calls LLC CurrentSince Apr 1, 2020 Accepting new patients
Oahu Home Care LLC PastSince Nov 1, 2019 Accepting new patients

Locations

7365 Orchestra Ln
Melbourne, FL 32940
Phone (321) 253-7450

805 Century Medical Dr
Ste A
Titusville, FL 32796
Phone (321) 268-6870

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

8060 Spyglass Hill Rd
Viera, FL 32940
Phone (321) 253-2200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21491/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/23115/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.ayrey.1@21491.direct.athenahealth.com

Organizations & group practices 5

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 3

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1821521261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 GEM CIR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556420",
            "telephone_number": "321-917-6788",
            "fax_number": "321-284-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 GEM CIR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556420",
            "telephone_number": "321-917-6788",
            "fax_number": "321-284-8620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Century Medical Dr",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327962100",
            "country_code": "US",
            "telephone_number": "321-383-9393",
            "fax_number": "321-385-1118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 E New Haven Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "32901",
            "country_code": "US",
            "telephone_number": "855-426-8074",
            "fax_number": "855-426-8075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYREY",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9238948",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9238948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CORBIN",
            "middle_name": "LYN",
            "prefix": "MS.",
            "credential": "ARNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.