Active NPI
Jenifer Taylor McHale, APRN
- Family Nurse Practitioner
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11016723
- Practice address
- 19531 Cochran Blvd
Port Charlotte, FL 33948-2081 - Phone
- (941) 255-3535
- NPI assigned
- Nov 23, 2021
- Last updated
- Jul 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 11016723 | FL | Primary |
Addresses
Primary practice location
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other practice location 1
701 Manatee Ave W
Bradenton, FL 34205-8604
Phone (941) 748-3065
Other practice location 2
2415 University Pkwy Ste 111
Sarasota, FL 34243-2809
Phone (941) 359-3337
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, 2021
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
1940 Tamiami TRL
Suite 104
Port Charlotte, FL 33948-2105
Phone (941) 883-0083
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11016723 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| Small Hospital Innovations LLC | Current | Accepting new patients | |
| MCR Health, Inc. | Family | Current | Accepting new patients |
| Millennium Physician Group LLC | Current | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
701 Manatee Ave W
Bradenton, FL 34205
Phone (617) 519-6443
524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
2415 University Pkwy
Ste 111
Sarasota, FL 34243
Phone (941) 351-2020
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jenifer.mchale.1@4290.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Emergency Medicine Physician
- Clewiston, FL
- NPI 1184040560
-
dba Riverside Medical Center
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Fawcett Hospital
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1700058583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1881351922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19531 COCHRAN BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339482081",
"telephone_number": "941-255-3535"
}
],
"practiceLocations": [
{
"address_1": "701 Manatee Ave W",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342058604",
"country_code": "US",
"telephone_number": "941-748-3065",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2415 University Pkwy Ste 111",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342432809",
"country_code": "US",
"telephone_number": "941-359-3337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCHALE",
"first_name": "JENIFER",
"middle_name": "TAYLOR",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-23",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11016723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.