JENNIFER VITAL WHITFIELD (MD) – General Practice Physician, NPI 1396384582

JENNIFER VITAL WHITFIELD (MD) is a healthcare provider. based in Defuniak springs, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. 021561 (PR). The NPI Number for JENNIFER VITAL WHITFIELD (MD) is 1396384582

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER VITAL WHITFIELD (MD)
NPI
1396384582
Phone
(850) 892-3366
Address
1045 US HIGHWAY 331 S
Enumeration Date
5 January 2020
Last Update Date
2 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8509844735
Graduation Year
2016 (10 years ago)
PAC ID
7810324720
Group Practice PAC ID
6103737697
Professional Enrollment ID
I20200304002642
Address ID
FL323462151PA1328XHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Digital endpointsOther names

1,466 GENERAL PRACTICE in FL

Provider Addresses for JENNIFER VITAL WHITFIELD (MD)

  • 1045 US HIGHWAY 331 S

    DEFUNIAK SPRINGS, FL 324353379

    Phone: (850) 892-3366

    Type: Location

  • 2804 REMINGTON GREEN CIR STE 2

    TALLAHASSEE, FL 323081550

    Phone: (850) 385-4494

    Type: Mailing

  • 800 HOSPITAL DR

    CRESTVIEW, FL 325397385

    Phone: (850) 682-1164

    Fax: (850) 682-5302

    Type: Location

  • 2001 E Highway 20

    Niceville, FL 325788826

    Phone: (850) 897-4400

    Fax: (850) 897-0623

    Type: Location

  • 1005 MAR WALT DR

    FORT WALTON BEACH, FL 325476707

    Phone: (850) 863-8150

    Fax: (850) 863-4152

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $945.

Total Amount is formed as General ($945) + Research ($0) + Ownership ($0) = $945.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($370).

Total Amount

$945

General + Research + Ownership

Payments

60

Total payment records

General Amount

$945

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2020-03-04

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
I20200304002642IGeneral PracticeFLTBD

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
83036Hemoglobin a1c level3324$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1512$0
View full utilization report →

Insurance plans in this area (ZIP 32435)

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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: 6103737697View full group profile

Reviews

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Frequently asked questions

Is there an official ID for JENNIFER VITAL WHITFIELD (MD) in U.S. healthcare records?
The official identifier for JENNIFER VITAL WHITFIELD (MD) is NPI 1396384582.
Would JENNIFER VITAL WHITFIELD (MD) appear as active to a payer?
You can treat JENNIFER VITAL WHITFIELD (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JENNIFER VITAL WHITFIELD (MD)'s focus?
For JENNIFER VITAL WHITFIELD (MD), the primary taxonomy reads as General Practice Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JENNIFER VITAL WHITFIELD (MD)?
Travel planning: use Defuniak Springs, Florida as the reference point for JENNIFER VITAL WHITFIELD (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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