Individual provider Active NPI

Jennifer C Dasque, ARNP, FNP

  • Family Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1881183168
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3317392 Issued in FL
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

Updated by the provider on Aug 16, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730003140 FL Practitioner - Nurse Practitioner 6709289580 Reassigns benefits to 3 organizations

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, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

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 Home health agency, Altamonte Springs, FL, CCN 107211
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3317392FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC CurrentSince Aug 1, 2021 Accepting new patients
Adventhealth Primary Care Network Inc Family CurrentSince Nov 1, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 29, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 29, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.