JENELLE SKINNER – Family Nurse Practitioner, NPI 1396483764

JENELLE SKINNER is a healthcare provider. based in Miami, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 95033019 (CA). The NPI Number for JENELLE SKINNER is 1396483764

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JENELLE SKINNER
NPI
1396483764
Phone
(650) 761-4056
Address
333 SE 2nd Ave Ste 2000
Enumeration Date
25 May 2022
Last Update Date
26 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6507614056
Graduation Year
2021 (5 years ago)
PAC ID
8123406238
Group Practice PAC ID
1456744598
Professional Enrollment ID
I20250307003227
Address ID
CA940807066SO611XXBLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:4State licenses:3Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for JENELLE SKINNER

  • 333 SE 2nd Ave Ste 2000

    Miami, FL 331312185

    Phone: (650) 761-4056

    Type: Location

  • 121 W 36th St # 237

    New York, NY 100183612

    Phone: (650) 761-4056

    Type: Location

  • 201 NW 82ND AVE STE 404

    PLANTATION, FL 333241856

    Phone:

    Type: Mailing

  • 13424 NW 5TH CT

    PLANTATION, FL 333256145

    Phone:

    Type: Mailing

  • 611 GATEWAY BLVD STE 120

    SOUTH SAN FRANCISCO, CA 940807066

    Phone: (650) 761-4056

    Fax: (628) 216-8120

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2023-09-13 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($38).

Total Amount

$127

General + Research + Ownership

Payments

5

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-13

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: 2025-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20220601002923INurse PractitionerFLTBD
I20240418002546INurse PractitionerVATBD
I20250307003227INurse PractitionerCATBD
I20250415003761INurse PractitionerNJTBD
I20251024002891INurse PractitionerTXTBD
I20251222000995INurse PractitionerNYTBD

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 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 33131)

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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: 1456744598View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerNY
Nurse PractitionerAZ
Nurse PractitionerCA
Family PracticeCA
Nurse PractitionerPA
Nurse PractitionerNY
Sleep Medicine, Internal MedicineAZ
Nurse PractitionerFL
Nurse PractitionerKS

Reviews

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Frequently asked questions

What is JENELLE SKINNER's NPI number?
JENELLE SKINNER's NPI is 1396483764 — the number used across U.S. healthcare to identify this provider.
Would JENELLE SKINNER appear as active to a payer?
You can treat JENELLE SKINNER as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JENELLE SKINNER's focus?
For JENELLE SKINNER, the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JENELLE SKINNER?
Travel planning: use Miami, Florida as the reference point for JENELLE SKINNER, then confirm.
Can I trust this NPI listing for JENELLE SKINNER?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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