MS. JENNIFER ELLEN MERTIFF (APRN FNP-C) – Nurse Practitioner, NPI 1154986156
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MS. JENNIFER ELLEN MERTIFF (APRN FNP-C)
Blue Lagoon Drive, Miami-Dade County, Florida, 33126, United States
MIAMI, FL 331262051
Phone: (305) 500-2000
Type: Mailing
463646 SR 200
SUITE 12
YULEE, FL 320972640
Phone: (904) 775-3601
Fax: (904) 849-1919
Type: Location
463386 State Road 200 Unit A
Yulee, FL 320973240
Phone: (904) 468-3080
Fax: (904) 468-3193
Type: Location
309 Arnow Dr
Saint Marys, GA 315583176
Phone: (912) 439-3500
Fax: (912) 439-3528
Type: Location
705 WELLS RD STE 300
ORANGE PARK, FL 320732982
Phone: (904) 621-0671
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $73.
Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: ABBVIE INC. ($33).
Total Amount
$73
General + Research + Ownership
Payments
3
Total payment records
General Amount
$73
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $33 |
| Forte Bio-Pharma LLC | $23 |
| SCILEX PHARMACEUTICALS INC. | $17 |
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: 2024-10-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190731000624 | I | Nurse Practitioner | FL | TBD |
| I20241003003834 | I | Nurse Practitioner | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | FL | |
| Physician Assistant | SC | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL |
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