Active NPI
Jenna Megan Niefeld, BA
- Family Medicine Physician
- Miami Beach, FL
National Provider Identifier
1942565668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- APRN1104962
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN1104962 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tristar Wellness, LLC | Single Specialty | Current | 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.
-
- Community/Behavioral Health Agency
- Aventura, FL
- NPI 1831431469
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.