Individual provider Active NPI

Jessica Faith Perez, APRN

  • Family Nurse Practitioner
  • Venice, FL
National Provider Identifier
1821741836
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9489346 Issued in FL
Practice address
1026 Albee Farm Rd
Venice, FL 34285-6213
Phone
(941) 484-0425
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9489346 FL Primary

Addresses

Primary practice location

1026 Albee Farm Rd
Venice, FL 34285-6213

Mailing address

2211 SW Gator TRL
Arcadia, FL 34266-8546
Phone (941) 600-8120

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
I20220621002137 FL Practitioner - Nurse Practitioner 2961881099 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9489346FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Mar 1, 2025 Accepting new patients
Integritynp, LLC CurrentSince Apr 1, 2023 Accepting new patients
Lenita Hanson MD PA CurrentSince May 16, 2022 Accepting new patients
Millennium Physician Group LLC CurrentSince Mar 1, 2025 Accepting new patients
Mana Health Partners PA CurrentSince Dec 5, 2024 Accepting new patients
Virta Medical P.C. CurrentSince Jun 7, 2025 Accepting new patients

Locations

501 Folsom St
Fl 1
San Francisco, CA 94105

37300 Royal Oak Ln
Dade City, FL 33525
Phone (352) 567-3122

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

21216 Olean Blvd
Ste 6
Pt Charlotte, FL 33952
Phone (941) 624-4800

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

2310 Tamiami Trl
Unit 2101
Punta Gorda, FL 33950
Phone (941) 621-3800

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

5311 Proctor Rd
Sarasota, FL 34233
Phone (941) 323-9326

1201 Hays St
Fl 1
Tallahassee, FL 32301

625 E Twiggs St
Ste 110
Tampa, FL 33602
Phone (866) 603-7803

1026 Albee Farm Rd
Venice, FL 34285
Phone (941) 484-0425

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1821741836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 SW GATOR TRL",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668546",
            "telephone_number": "941-600-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 ALBEE FARM RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342856213",
            "telephone_number": "941-484-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JESSICA",
        "middle_name": "FAITH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9489346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.