JENNIFER LYNN NORTH – Family Nurse Practitioner, NPI 1205103884

JENNIFER LYNN NORTH is a healthcare provider. based in Melbourne, Florida. specializing in NURSE PRACTITIONER. They hold a License No. ARNP9268450 (FL). The NPI Number for JENNIFER LYNN NORTH is 1205103884

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LYNN NORTH
NPI
1205103884
Phone
(321) 952-9696
Address
PO BOX 1137
Enumeration Date
25 November 2011
Last Update Date
27 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3212000346
Graduation Year
2011 (15 years ago)
PAC ID
3971748096
Group Practice PAC ID
8628511227
Professional Enrollment ID
I20130320000592
Address ID
FL329315041CO105XXBLVD502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JENNIFER LYNN NORTH

  • PO BOX 1137

    MELBOURNE, FL 329021137

    Phone: (321) 952-9696

    Type: Mailing

  • 2120 SARNO RD

    MELBOURNE, FL 329353084

    Phone: (321) 241-6800

    Fax: (321) 241-6890

    Type: Location

  • 7960 N. WICKHAM ROAD

    SUITE 103

    MELBOURNE, FL 32940

    Phone: (321) 428-4737

    Fax: (321) 241-6457

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $319.

Total Amount is formed as General ($319) + Research ($0) + Ownership ($0) = $319.

Last reported payment date: 2023-10-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).

Total Amount

$319

General + Research + Ownership

Payments

7

Total payment records

General Amount

$319

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-24

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: 2013-03-20

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
I20130320000592INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes269254$0
17003Destruction of precancer skin growth, 2-14 growths24470$0
17000Destruction of precancer skin growth, 1 growth114107$0
17110Destruction of skin growth, 1-14 growths112112$0
11102Biopsy of related skin growth, first growth106104$0
View full utilization report →

Insurance plans in this area (ZIP 32902)

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Provider's Procedures

JENNIFER LYNN NORTH performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERFL83036Hemoglobin A1C level2215

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: 8628511227View full group profile
NameSpecialtyState
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
D E R M A T O L O G YFL

Reviews

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Frequently asked questions

How is JENNIFER LYNN NORTH identified in CMS data?
CMS-hosted NPPES data lists JENNIFER LYNN NORTH with NPI 1205103884.
Is JENNIFER LYNN NORTH still practicing?
JENNIFER LYNN NORTH is currently listed as active in the public NPI registry.
What is JENNIFER LYNN NORTH best known for clinically?
Directory data describes JENNIFER LYNN NORTH with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does JENNIFER LYNN NORTH serve?
JENNIFER LYNN NORTH's listing highlights Melbourne, Florida; more addresses can appear in NPPES.
Why does JENNIFER LYNN NORTH have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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