Individual provider Active NPI

Jerika Terese Perry, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1922762467
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11015468 Issued in FL
Practice address
1602 Oakfield Dr Ste 205
Brandon, FL 33511-0827
Phone
(239) 690-6906
Fax
(813) 291-7396
NPI assigned
Oct 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11015468 FL Primary

Addresses

Primary practice location

1602 Oakfield Dr Ste 205
Brandon, FL 33511-0827

Mailing address

3606 Natural Trace St
Plant City, FL 33565-5986
Phone (813) 492-1717

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
I20220214000054 FL Practitioner - Nurse Practitioner 0446643597 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robin Foster LMHC LLC CurrentSince May 1, 2024 Accepting new patients
MCR Health, Inc. CurrentSince Feb 27, 2023 Accepting new patients
Dna Comprehensive Therapy Services, LLC CurrentSince Sep 19, 2024 Accepting new patients
MCR Health, Inc. CurrentSince Feb 27, 2023 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Sep 19, 2024 Accepting new patients
Balanced Wellbeing LLC CurrentSince Jan 23, 2023 Accepting new patients
Mary Welsh Foundation, Inc. CurrentSince Feb 1, 2024 Accepting new patients

Locations

1602 Oakfield Dr
Ste 205
Brandon, FL 33511
Phone (813) 655-6367

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

3820 Gunn Hwy
Ste 100
Tampa, FL 33618
Phone (813) 840-4304

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Organizations & group practices 7

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": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1922762467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 NATURAL TRACE ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335655986",
            "telephone_number": "813-492-1717",
            "fax_number": "813-409-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 OAKFIELD DR STE 205",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335110827",
            "telephone_number": "239-690-6906",
            "fax_number": "813-291-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JERIKA",
        "middle_name": "TERESE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11015468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.