Individual provider Active NPI

Jennifer Putnel

  • Family Medicine Physician
  • Mayo, FL
National Provider Identifier
1952138927
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11035296 Issued in FL
Practice address
8784 W US 27
Mayo, FL 32066-3458
Phone
(386) 209-2582
NPI assigned
Sep 16, 2024
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11035296 FL Primary

Addresses

Primary practice location

8784 W US 27
Mayo, FL 32066-3458

Mailing address

1706 W US 27
Mayo, FL 32066-4192
Phone (386) 209-2582

Other practice location 1

382 SW Mci Way
Madison, FL 32340-4430
Phone (386) 209-2582

Other names 1

  • Jennifer McDonald Former name

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
I20250409002968 FL Practitioner - Nurse Practitioner 8820512049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gainesville GeriatricGroup PAC ID 1254619919, 3 clinicians

Practice addresses (Care Compare)

583 NE Hwy 351
Cross City Nursing and Rehabilitation Cente
Cross City, FL 32628-3108
Phone (352) 498-2005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11035296FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Geriatric CurrentSince Mar 26, 2025 Accepting new patients

Locations

583 NE Highway 351
Cross City, FL 32628
Phone (352) 498-2005

5200 NW 43rd St
Ste 102387
Gainesville, FL 32606

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1952138927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 W US 27",
            "city": "MAYO",
            "state": "FL",
            "postal_code": "320664192",
            "telephone_number": "386-209-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8784 W US 27",
            "city": "MAYO",
            "state": "FL",
            "postal_code": "320663458",
            "telephone_number": "386-209-2582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "382 SW Mci Way",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "FL",
            "postal_code": "323404430",
            "country_code": "US",
            "telephone_number": "386-209-2582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTNEL",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11035296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCDONALD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mayo, FL

Sources for this page

Verify at the official NPI Registry.