Jennifer Sue Healy-Fetter, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9103328 Issued in FL

Practice address

3302 Bonita Beach Rd
# 170
Bonita Springs, FL 34134-4174

Phone

(239) 624-1050

Fax

(239) 624-1051

NPI assigned

Sep 28, 2006

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 3

Other names 1

• Jennifer Sue Healy Former 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jhealyfetter19967@nchhealthcaresystem.direct-ci.com

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.

• Nchmd Inc

  • Hematology & Oncology Physician
  • Naples, FL
  • NPI 1831120195
  Medicare reassignment NPD (past)
• Southwest Florida Emergency Management LLC

  • Emergency Medicine Physician
  • Naples, FL
  • NPI 1780911206
  Medicare reassignment
• Thse - Marco Urgent Care LLC

  • Internal Medicine Physician
  • Marco Island, FL
  • NPI 1801125331
  Medicare reassignment
• Epn Urgent Care LLC

  • Emergency Medicine Physician
  • Naples, FL
  • NPI 1275624579
  NPD
• Landmark Hospital of Southwest Florida, LLC

  • Long Term Care Hospital
  • Lehigh Acres, FL
  • NPI 1932595659
  NPD
• Nchmd, Inc

  • Durable Medical Equipment & Medical Supplies
  • Naples, FL
  • NPI 1033904651
  NPD
• Emergency Physicians of Naples PLLC

  • Emergency Medicine Physician
  • Naples, FL
  • NPI 1861410656
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1902997208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 BONITA BEACH RD",
            "address_2": "# 170",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344174",
            "telephone_number": "239-624-1050",
            "fax_number": "239-624-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 BONITA BEACH RD",
            "address_2": "# 170",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344174",
            "telephone_number": "239-624-1050",
            "fax_number": "239-624-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY-FETTER",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292464100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y01QX",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "U684U",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HEALY",
            "middle_name": "SUE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott Hays Jr., LPC
• Health Quest Chiropractic Inc
• Healthstar Medical Services PLLC
• Healthy Home Services
• Healthy MD Clinical, LLC F/K/a Independent Medical Group, LLC
• Nadia Heinz, RD
• Helios Healthcare, LLC
• Jenna Marie Heller, ARNP
• Mary Heller
• Robert Arlo Hemphill, DO

• Physician Assistant in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.