Individual provider Active NPI

Jeffrey Wayne Krenzer, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1962455899
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME57035 Issued in FL
Practice address
1215 Dunn Ave Ste 1
Jacksonville, FL 32218-4897
Phone
(904) 696-7474
Fax
(904) 696-7476
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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 ME57035 FL Primary

Addresses

Primary practice location

1215 Dunn Ave Ste 1
Jacksonville, FL 32218-4897

Mailing address

6520 Fort Caroline Rd
Jacksonville, FL 32277-2044
Phone (904) 745-3618

Other identifiers 1

IdentifierTypeStateIssuer
P01306643OtherFLRAILROAD MEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130729000395 FL Practitioner - Family Practice 5193785152 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Miami, LM Miller School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksonville Carenow Urgent Care LLCGroup PAC ID 6800158544, 44 clinicians

Practice addresses (Care Compare)

4888 Town Ctr Pkwy
Unit 107
Jacksonville, FL 32246-8315
Phone (904) 800-1735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Carenow Urgent Care, LLC CurrentSince Dec 28, 2022 Accepting new patients
Orlando Carenow Urgent Care LLC CurrentSince Jan 26, 2023 Accepting new patients
MD Now Medical Centers Inc CurrentSince Mar 8, 2023 Accepting new patients
MD Now Medical Centers Inc Current Accepting new patients
Baptist Primary Care Inc Family Medicine Past Accepting new patients
Family Care Partners Urgent Care, LLC PastSince Nov 9, 2021 Accepting new patients
Heathrow Internal Medicine LLC Family Medicine PastSince Jan 26, 2023 Accepting new patients

Locations

628 Cagan View Rd
Clermont, FL 34714
Phone (352) 242-1988

4888 Town Center Pkwy
Unit 107
Jacksonville, FL 32246
Phone (904) 800-1735

1801 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-1700

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1900 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 398-1588

5102 Sr 46
Sanford, FL 32771
Phone (321) 765-6152

640 21st St
Vero Beach, FL 32960
Phone (772) 299-1092

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 7

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1962455899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 FORT CAROLINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772044",
            "telephone_number": "904-745-3618",
            "fax_number": "904-722-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 DUNN AVE STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184897",
            "telephone_number": "904-696-7474",
            "fax_number": "904-696-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENZER",
        "first_name": "JEFFREY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME57035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01306643",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.