JILL R HENDRY (ARNP) – Advanced Practice Midwife, NPI 1306814454

JILL R HENDRY (ARNP) is a healthcare provider. based in Tampa, Florida. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials ARNP. They hold a License No. APRN2856932 (FL). The NPI Number for JILL R HENDRY (ARNP) is 1306814454

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
JILL R HENDRY (ARNP)
NPI
1306814454
Phone
(813) 286-0033
Address
PO BOX 25317
Enumeration Date
14 March 2006
Last Update Date
24 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8636881528
Graduation Year
1998 (28 years ago)
PAC ID
1951207067
Group Practice PAC ID
9234031444
Professional Enrollment ID
I20031210000114
Address ID
FL338053016LA1733XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

360 CERTIFIED NURSE MIDWIFE (CNM) in FL

Provider Addresses for JILL R HENDRY (ARNP)

  • PO BOX 25317

    TAMPA, FL 336225317

    Phone: (813) 286-0033

    Fax: (813) 282-1806

    Type: Mailing

  • PO BOX 748817

    ATLANTA, GA 303748817

    Phone: (813) 286-0333

    Fax: (813) 282-1806

    Type: Mailing

  • 5002 W Lemon St

    Tampa, FL 336091104

    Phone: (813) 286-0033

    Fax: (813) 282-1806

    Type: Location

  • 1733, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States

    LAKELAND, FL 338053016

    Phone: (863) 940-2908

    Fax: (863) 940-4722

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $371.

Total Amount is formed as General ($371) + Research ($0) + Ownership ($0) = $371.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Astellas Pharma US Inc ($227).

Total Amount

$371

General + Research + Ownership

Payments

12

Total payment records

General Amount

$371

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

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: 2003-12-10

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
I20031210000114ICertified Nurse Midwife (Cnm)FLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33622)

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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: 9234031444View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
Nurse PractitionerGA
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL

Reviews

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Frequently asked questions

Is there an official ID for JILL R HENDRY (ARNP) in U.S. healthcare records?
The official identifier for JILL R HENDRY (ARNP) is NPI 1306814454.
Active or inactive — what applies to JILL R HENDRY (ARNP)?
You should see JILL R HENDRY (ARNP) as active in CMS-hosted NPPES data.
What kind of doctor is JILL R HENDRY (ARNP)?
JILL R HENDRY (ARNP) is associated with Advanced Practice Midwife in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JILL R HENDRY (ARNP)?
Travel planning: use Tampa, Florida as the reference point for JILL R HENDRY (ARNP), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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