Janis Elaine Oenbrink, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11005748 Issued in FL

Practice address

224 Forrest Ave
Cocoa, FL 32922-7721

Phone

(321) 794-0938

Fax

(855) 710-7369

NPI assigned

Dec 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• South Titusville Medical Center Inc

  • Health Service Clinic/Center
  • Titusville, FL
  • NPI 1821031683
  Medicare reassignment NPD

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

{
    "created_epoch": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1871132597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 FORREST AVE",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227721",
            "telephone_number": "321-794-0938",
            "fax_number": "855-710-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 FORREST AVE",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227721",
            "telephone_number": "321-794-0938",
            "fax_number": "855-710-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OENBRINK",
        "first_name": "JANIS",
        "middle_name": "ELAINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-28",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F12190815",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naja Noch, BT
• North Brevard Medical Support, Inc
• Ayla J Noyola
• Cynthia Ann Nuckols
• Juan Rudy Nunez, MD
• Gary Chee Seng Oh, BSC. M.D. DIPABLM
• Kiara Oliveira
• Margaret Clare Oliver, RBT
• Pamela Joyce Owens
• Pab and B, Inc.

• Family Nurse Practitioner in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.