Individual provider Active NPI

Jennifer Ulseth, APRN

  • Family Nurse Practitioner
  • Trinity, FL
National Provider Identifier
1851865976
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000477 Issued in FL
Practice address
2433 Country Place Blvd BLDG B
Trinity, FL 34655-1163
Phone
(813) 844-8200
NPI assigned
Jan 12, 2019
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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 APRN11000477 FL Primary

Addresses

Primary practice location

2433 Country Place Blvd BLDG B
Trinity, FL 34655-1163

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (813) 844-8200

Other identifiers 2

IdentifierTypeStateIssuer
104166400MedicaidFL
1041664000MedicaidFL

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
I20190927000339 FL Practitioner - Nurse Practitioner 2062742430 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11000477FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc Current Accepting new patients
Florida Department of Health CurrentSince Sep 9, 2019 Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Jul 25, 2022 Accepting new patients
Florida Department of Health CurrentSince Sep 9, 2019 Accepting new patients
Tampa General Medical Group Inc CurrentSince Jul 25, 2022 Accepting new patients
Saint Francis Medical Center Past Accepting new patients

Locations

1105 E Kennedy Blvd
Tampa, FL 33602
Phone (813) 307-8015

2433 Country Place Blvd
Trinity, FL 34655
Phone (813) 844-8200

2433 Country Place Blvd
Bldg B
Trinity, FL 34655
Phone (813) 844-4578

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: julseth87050@direct.tgh.org

Organizations & group practices 7

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": "1547251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1851865976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289",
            "telephone_number": "813-844-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 COUNTRY PLACE BLVD BLDG B",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551163",
            "telephone_number": "813-844-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULSETH",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-12",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104166400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041664000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.