Individual provider Active NPI

Jenifer Taylor McHale, APRN

  • Family Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1881351922
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11016723 Issued in FL
Practice address
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone
(941) 255-3535
NPI assigned
Nov 23, 2021
Last updated
Jul 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211230002122 FL Practitioner - Nurse Practitioner 3476944497 Reassigns benefits to 3 organizations

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 IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

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

LicenseStateTypeSpecialty
11016723FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Jul 5, 2022 Accepting new patients
MCR Health, Inc. CurrentSince Dec 21, 2021 Accepting new patients
Small Hospital Innovations LLC CurrentSince Sep 1, 2023 Accepting new patients
MCR Health, Inc. Family CurrentSince Dec 21, 2021 Accepting new patients
Millennium Physician Group LLC CurrentSince Jul 5, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.