JESSICA K WHITE (APRN-BC) – Family Nurse Practitioner, NPI 1104391465

JESSICA K WHITE (APRN-BC) is a healthcare provider. based in Port orange, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-BC. They hold a License No. APRN9354800 (FL). The NPI Number for JESSICA K WHITE (APRN-BC) is 1104391465

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA K WHITE (APRN-BC)
NPI
1104391465
Phone
(386) 506-2992
Address
5331 CORDGRASS BEND LN
Enumeration Date
12 October 2018
Last Update Date
31 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862561969
Graduation Year
2018 (8 years ago)
PAC ID
2860733045
Group Practice PAC ID
3274769153
Professional Enrollment ID
I20190417000165
Address ID
FL327638204OR865XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Loading map...

Provider Addresses for JESSICA K WHITE (APRN-BC)

  • 5331, Cordgrass Bend Lane, Port Orange, Volusia County, Florida, 32128, United States

    PORT ORANGE, FL 321283000

    Phone: (386) 506-2992

    Type: Location

  • 1035 PRIMERA BLVD

    LAKE MARY, FL 327462193

    Phone: (407) 333-3040

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $709.

Total Amount is formed as General ($709) + Research ($0) + Ownership ($0) = $709.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: ABBVIE INC. ($192).

Total Amount

$709

General + Research + Ownership

Payments

25

Total payment records

General Amount

$709

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190417000165INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2726$0
View full utilization report →

Insurance plans in this area (ZIP 32128)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274769153View full group profile
NameSpecialtyState
Dermatology, PathologyFL
Nurse PractitionerMA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is JESSICA K WHITE (APRN-BC) listed with a National Provider Identifier?
Yes — JESSICA K WHITE (APRN-BC) has NPI 1104391465 on file in the registry.
Is JESSICA K WHITE (APRN-BC) shown as active in public data?
Registry records indicate JESSICA K WHITE (APRN-BC) maintains an active NPI.
What expertise is attributed to JESSICA K WHITE (APRN-BC)?
JESSICA K WHITE (APRN-BC)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Florida is JESSICA K WHITE (APRN-BC) registered?
Use Port Orange, Florida as the headline location for JESSICA K WHITE (APRN-BC) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

PRISCILLA CLARA MILLER (ARNP)

Family Nurse Practitioner
1301, Black Bear Ranch Trail, Pierson, Volusia County, Florida, 32180, United States
NPI: 1326159500

PROF. TINA MARIE BURGESS (ARNP)

Family Nurse Practitioner
Daytona Beach Post Office, North Atlantic Avenue, Daytona Beach, Volusia County, Florida, 32118, United States
NPI: 1962503045

ANN GAFFKA (ARNP-C)

Family Nurse Practitioner
Lake Mary Boulevard, Heathrow, Lake Mary, Seminole County, Florida, 32746, United States
NPI: 1952457483

AMANDA PHILLIPS (FNP-BC, PMHNP-BC)

Family Nurse Practitioner
934, Wingate Trail, Pinnacle Parke, Port Orange, Volusia County, Florida, 32128, United States
NPI: 1689813305

KAYLA ROSE RITZEL (FNP)

Family Nurse Practitioner
1250 Mercantile Dr
NPI: 1619100187

MS. GRACE PEDERSEN (ARNP)

Family Nurse Practitioner
1211 DUNLAWTON AVE
NPI: 1528385176

SUSAN RUXTON (FNP-C)

Family Nurse Practitioner
1690 DUNLAWTON AVE
NPI: 1245540491

MS. SASHI A ZICKEFOOSE (NP-C)

Family Nurse Practitioner
550 POPE AVE
NPI: 1407139371

VICKIE LYNN SORRELL (FNP-BC)

Family Nurse Practitioner
4770 S RIDGEWOOD AVE
NPI: 1306114483