Active NPI
Jennifer C Dasque, ARNP, FNP
- Family Nurse Practitioner
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP3317392
- Practice address
- 2005 Mizell Ave Ste 1600
Winter Park, FL 32792-4126 - Phone
- (407) 646-7380
- NPI assigned
- May 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP3317392 | FL | Primary |
Addresses
Primary practice location
2005 Mizell Ave Ste 1600
Winter Park, FL 32792-4126
Mailing address
2005 Mizell Ave Ste 1600
Winter Park, FL 32792-4126
Phone (407) 646-7380
Other practice location 1
901 West Warren Avenue
Ste 1001
Longwood, FL 32750-4003
Phone (407) 834-0860
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
2005 Mizell Ave
Suite 1600a
Winter Park, FL 32792-4126
Phone (407) 646-7380
661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040
Hospital & facility affiliations
- Adventhealth Home Health
- Adventhealth Orlando
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3317392 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VMD Primary Providers Central Florida PLLC | Current | Accepting new patients | |
| Adventhealth Primary Care Network Inc | Family | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Debra a Dube and Associates, PA | Past | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725
2005 Mizell Ave
Winter Park, FL 32792
Phone (407) 646-7380
2005 Mizell Ave
Ste 1600
Winter Park, FL 32792
Phone (407) 646-7380
Interoperability endpoints
- jdasque826493@adventhealth.direct-ci.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Family Medicine Physician
- Saint Cloud, FL
- NPI 1134738974
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Internal Medicine Physician
- Longwood, FL
- NPI 1134227028
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Altamonte Springs, FL
- NPI 1518419977
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1881183168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 MIZELL AVE STE 1600",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924126",
"telephone_number": "407-646-7380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 MIZELL AVE STE 1600",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924126",
"telephone_number": "407-646-7380"
}
],
"practiceLocations": [
{
"address_1": "901 West Warren Avenue",
"address_2": "Ste 1001",
"address_purpose": "LOCATION",
"city": "Longwood",
"state": "FL",
"postal_code": "327504003",
"country_code": "US",
"telephone_number": "407-834-0860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DASQUE",
"first_name": "JENNIFER",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "ARNP, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP3317392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.