Individual provider Active NPI

Jennifer Ann Lievano, APRN

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1972833010
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2730622 Issued in FL
Practice address
7901 4TH St N Ste 14102
St Petersburg, FL 33702-4305
Phone
(813) 280-0124
Fax
(904) 341-5249
NPI assigned
Jan 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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 2730622 FL Primary

Addresses

Primary practice location

7901 4TH St N Ste 14102
St Petersburg, FL 33702-4305

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 361-5573

Other identifiers 1

IdentifierTypeStateIssuer
QA013OtherFLMEDICARE HF

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
I20111017000501 FL Practitioner - Nurse Practitioner 9234301284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chronius Care Medical Group PLLCGroup PAC ID 1850820986, 6 clinicians

Practice addresses (Care Compare)

12276 San Jose Blvd
Jacksonville, FL 32223-8628
Phone (813) 280-0124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2730622FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chronius Care Medical Group PLLC CurrentSince Oct 1, 2025 Accepting new patients
Chronius Physical Therapy LLC Past Accepting new patients
Elite Medical Associates, LLC PastSince Jul 1, 2023 Accepting new patients
Elite Medical Associates, LLC PastSince Jan 7, 2002 Accepting new patients
Boca Raton Regional Hospital Past Accepting new patients
Bocacare Inc Women'S Health Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

12276 San Jose Blvd
Bldg 700
Jacksonville, FL 32223
Phone (813) 280-0124

Interoperability endpoints

  • Direct secure messaging: jlievano24835@epicdirect.hf.org

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": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1972833010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-361-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 14102",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "813-280-0124",
            "fax_number": "904-341-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEVANO",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2730622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "QA013",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.