Individual provider Active NPI

Jennifer Leigh Bart, APRN

  • Family Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1902553571
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014073 Issued in FL
Practice address
12149 SW Bennington Cir # a
Port St Lucie, FL 34987-2703
Phone
(772) 528-1190
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 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 11014073 FL Primary

Addresses

Primary practice location

12149 SW Bennington Cir # a
Port St Lucie, FL 34987-2703

Mailing address

12149 SW Bennington Cir # a
Port St Lucie, FL 34987-2703
Phone (772) 528-1190

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
I20220322003137 FL Practitioner - Nurse Practitioner 5698160919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to You Physical Therapy LLCGroup PAC ID 7911371828, 5 clinicians

Practice addresses (Care Compare)

3002 SW Port St Lucie Blvd
Port Saint Lucie, FL 34953-3218
Phone (772) 271-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11014073FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Back to You Physical Therapy LLC CurrentSince Apr 24, 2024 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Aug 15, 2022 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Aug 15, 2022 Accepting new patients

Locations

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

5430 Military Trl
Ste 64
Jupiter, FL 33458
Phone (561) 263-7010

1335 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 263-7010

3002 SW Port St Lucie Blvd
Port St Lucie, FL 34953
Phone (772) 271-4200

Interoperability endpoints

  • Direct secure messaging: jennifer.bart.p1@direct.alegiscare.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1902553571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12149 SW BENNINGTON CIR # A",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872703",
            "telephone_number": "772-528-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12149 SW BENNINGTON CIR # A",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872703",
            "telephone_number": "772-528-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BART",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.