Individual provider Active NPI

Jenna Megan Niefeld, BA

  • Family Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1942565668
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN1104962 Issued in FL
Practice address
400 W 41St St Ste 402
Miami Beach, FL 33140-3500
Phone
(305) 604-9595
Fax
(305) 604-9257
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X APRN1104962 FL Primary

Addresses

Primary practice location

400 W 41St St Ste 402
Miami Beach, FL 33140-3500

Mailing address

400 W 41St St Ste 42
Miami Beach, FL 33140-3516
Phone (305) 604-9595

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
I20200401002735 FL Practitioner - Nurse Practitioner 6103255856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tristar Wellness, LLCGroup PAC ID 7416298906, 3 clinicians

Practice addresses (Care Compare)

400 W 41St St
Suite 402
Miami Beach, FL 33140-3500
Phone (305) 604-9595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN1104962FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tristar Wellness, LLC Single Specialty CurrentSince May 1, 2023 Accepting new patients
Infinite Personal Possibilities Past Accepting new patients

Locations

8585 Sunset Dr
Ste 103
Miami, FL 33143
Phone (305) 274-3311

400 W 41st St
Ste 402
Miami Beach, FL 33140
Phone (305) 604-9595

Organizations & group practices 2

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1942565668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 41ST ST STE 42",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403516",
            "telephone_number": "305-604-9595",
            "fax_number": "305-604-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 41ST ST STE 402",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403500",
            "telephone_number": "305-604-9595",
            "fax_number": "305-604-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEFELD",
        "first_name": "JENNA",
        "middle_name": "MEGAN",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN1104962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.