Organization Active NPI

Jennmobilemed Inc

  • Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1831799790
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
JENNMOBILEMED INC
Practice address
631 SW 17TH CT
Boca Raton, FL 33486-6413
Phone
(561) 997-4425
Fax
(380) 235-7600
NPI assigned
Oct 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Mrs. Jennifer Rosemarie Weibel, APRNNPI 1134779333
Title
Authorized Offical
Phone
(561) 328-3610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

631 SW 17TH CT
Boca Raton, FL 33486-6413

Mailing address

631 SW 17TH CT
Boca Raton, FL 33486-6413
Phone (561) 997-4425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201214001750 FL Part B Supplier - Clinic/Group Practice 9133531296 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

7050 W Palmetto Park Rd
Ste 15513
Boca Raton, FL 33433
Phone (561) 997-4425

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1831799790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 SW 17TH CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334866413",
            "telephone_number": "561-997-4425",
            "fax_number": "380-235-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 SW 17TH CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334866413",
            "telephone_number": "561-997-4425",
            "fax_number": "380-235-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNMOBILEMED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "WEIBEL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ROSEMARIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "561-328-3610",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.