JERILYN J BOTWINIK (APRN) – Family Nurse Practitioner, NPI 1427005669

JERILYN J BOTWINIK (APRN) is a healthcare provider. based in Tampa, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 9179846 (FL). The NPI Number for JERILYN J BOTWINIK (APRN) is 1427005669

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
JERILYN J BOTWINIK (APRN)
NPI
1427005669
Phone
Not provided
Address
PO BOX 272729
Enumeration Date
30 May 2006
Last Update Date
21 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8134443201
Graduation Year
2005 (21 years ago)
PAC ID
5698870756
Group Practice PAC ID
4183954423
Professional Enrollment ID
I20070418000169
Address ID
FL33624XXXXTAXXXXXXXXXX00
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JERILYN J BOTWINIK (APRN)

  • PO BOX 272729

    TAMPA, FL 336882729

    Phone:

    Type: Mailing

  • 16411 OAK MANOR DR

    TAMPA, FL 33624

    Phone: (813) 390-2981

    Type: Location

  • 13014 N DALE MABRY HWY STE 186

    TAMPA, FL 336182808

    Phone: (813) 444-3201

    Fax: (813) 436-5294

    Type: Mailing

  • 16411 OAKMANOR DR

    TAMPA, FL 336241234

    Phone: (813) 444-3201

    Fax: (813) 436-5294

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $67.

Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.

Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Abbott Laboratories ($67).

Total Amount

$67

General + Research + Ownership

Payments

2

Total payment records

General Amount

$67

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$67
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: 2007-04-18

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
I20070418000169INurse 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
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes665120$0
G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow21681$0
G0318Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif11248$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes7446$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and7159$0
View full utilization report →

Insurance plans in this area (ZIP 33688)

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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: 4183954423View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerMA
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I cross-check JERILYN J BOTWINIK (APRN) using NPI 1427005669?
NPI 1427005669 belongs to JERILYN J BOTWINIK (APRN); compare other details if you need extra assurance.
Active or inactive — what applies to JERILYN J BOTWINIK (APRN)?
You should see JERILYN J BOTWINIK (APRN) as active in CMS-hosted NPPES data.
What expertise is attributed to JERILYN J BOTWINIK (APRN)?
JERILYN J BOTWINIK (APRN)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JERILYN J BOTWINIK (APRN)?
Directory geography for JERILYN J BOTWINIK (APRN) centers on Tampa, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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