Individual provider Active NPI

Jennifer N Nye, FNP-C

  • Family Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1962276543
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029531 Issued in FL
Practice address
1485 37TH St Ste 111
Vero Beach, FL 32960-6518
Phone
(772) 226-6855
NPI assigned
Nov 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11029531 FL Primary

Addresses

Primary practice location

1485 37TH St Ste 111
Vero Beach, FL 32960-6518

Mailing address

1485 37TH St Ste 111
Vero Beach, FL 32960-6518
Phone (772) 226-6855

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
I20231204001528 FL Practitioner - Nurse Practitioner 7517315419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia and Sleep Medicine Services of Florida LLCGroup PAC ID 6103237664, 2 clinicians

Practice addresses (Care Compare)

1485 37TH St
Suite 111
Vero Beach, FL 32960-6518
Phone (772) 226-3855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11029531FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia and Sleep Medicine Services of Florida LLC CurrentSince Nov 15, 2023 Accepting new patients

Locations

1485 37th St
Ste 111
Vero Beach, FL 32960
Phone (772) 226-6855

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGBCCD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1962276543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 37TH ST STE 111",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606518",
            "telephone_number": "772-226-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 37TH ST STE 111",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606518",
            "telephone_number": "772-226-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYE",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.