Individual provider Active NPI

Dejah Jarrells, ARNP

  • Gerontology Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1932952405
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11032489 Issued in FL
Practice address
270 Northlake Blvd Ste 1008
Altamonte Springs, FL 32701-4335
Phone
(407) 834-3300
Fax
(407) 834-3800
NPI assigned
Apr 8, 2024
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2024005825 FL
Gerontology Nurse Practitioner 363LG0600X APRN11032489 FL Primary

Addresses

Primary practice location

270 Northlake Blvd Ste 1008
Altamonte Springs, FL 32701-4335

Mailing address

499 Cape Honeysuckle PL
Sanford, FL 32771-0196

Other practice location 1

499 Cape Honeysuckle Pl
Sanford, FL 32771-0196
Phone (407) 595-5665

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
I20240724001550 FL Practitioner - Nurse Practitioner 8729524913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Florida College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

631 E Altamonte Dr
Suite 231
Altamonte Springs, FL 32701-4802
Phone (407) 303-5214

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024005825FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Sep 9, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 9, 2024 Accepting new patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Sep 23, 2024 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Sep 23, 2024 Accepting new patients

Locations

270 Northlake Blvd
Ste 1008
Altamonte Springs, FL 32701
Phone (407) 834-3300

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: djarrells36722@adventhealth.direct-ci.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": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1932952405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 CAPE HONEYSUCKLE PL",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327710196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 NORTHLAKE BLVD STE 1008",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014335",
            "telephone_number": "407-834-3300",
            "fax_number": "407-834-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 Cape Honeysuckle Pl",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327710196",
            "country_code": "US",
            "telephone_number": "407-595-5665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARRELLS",
        "first_name": "DEJAH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "2024005825",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11032489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.