Jenna Lea Wimmer, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9254453 Issued in FL

Practice address

4122 Metric Dr Ste 800
Winter Park, FL 32792-6809

Phone

(407) 645-2577

Fax

(407) 866-2793

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jenna Lea Hubner Other name

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hope and Help Center of Central Florida IncGroup PAC ID 0345593406, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Hope and Help Center of Central Florida, Inc.

  • Clinic/Center
  • Winter Park, FL
  • NPI 1528110772
  Medicare reassignment Care Compare group
• Howard Brown Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1306048632
  NPD (past)
• Howard Brown Health Center

  • Health Educator
  • Chicago, IL
  • NPI 1811824121
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1902058035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 METRIC DR STE 800",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327926809",
            "telephone_number": "407-645-2577",
            "fax_number": "407-866-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 METRIC DR STE 800",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327926809",
            "telephone_number": "407-645-2577",
            "fax_number": "407-866-2793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 Mizell Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327924155",
            "country_code": "US",
            "telephone_number": "407-646-7845",
            "fax_number": "407-646-7846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMMER",
        "first_name": "JENNA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9254453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000574100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "HUBNER",
            "middle_name": "LEA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Keisha Sharonda Wilson
• Luequayn Tae Wilson, HEALTH & WELLNESS CO
• Naiyah Alexandria-Nunez Wilson
• Sarah Wilson, ARNP
• Mark Wimberley, DPT
• Kelly Kohn Winkler, MAC
• Michael Winkler, LMHC
• Winter Park Cancer Center, LLC
• Winter Park Cancer Center, LLC
• Winter Park Care and Rehab Opco LLC

• Family Nurse Practitioner in Winter Park, FL
• Providers in Winter Park, 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 Mar 10, 2020; 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.

Verify at the official NPI Registry.