Individual provider Active NPI

Karrie Jennings

  • Psychiatric/Mental Health Nurse Practitioner
  • Windermere, FL
National Provider Identifier
1821776436
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11027302 Issued in FL
Practice address
9100 Conroy Windermere Rd Ste 200
Windermere, FL 34786-8431
Phone
(407) 462-1254
NPI assigned
Jul 5, 2023
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11027302 FL Primary

Addresses

Primary practice location

9100 Conroy Windermere Rd Ste 200
Windermere, FL 34786-8431

Mailing address

9100 Conroy Windermere Rd Ste 200
Windermere, FL 34786-8431

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
I20240325001699 FL Practitioner - Nurse Practitioner 4789021825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andrew Pleener, MD, P.a.Group PAC ID 9537519020, 18 clinicians

Practice addresses (Care Compare)

9100 Conroy Windermere Rd
Windermere, FL 34786-8431
Phone (407) 462-1254

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11027302FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Pleener, MD, P.a. CurrentSince Feb 12, 2024 Accepting new patients

Locations

9100 Conroy Windermere Rd
Ste 200
Windermere, FL 34786
Phone (407) 395-2042

Organizations & group practices 1

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1821776436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 CONROY WINDERMERE RD STE 200",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 CONROY WINDERMERE RD STE 200",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868431",
            "telephone_number": "407-462-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "KARRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11027302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

Verify at the official NPI Registry.