JENNIFER CORONA TEITELBAUM – Critical Care Medicine Nurse Practitioner, NPI 1447915699

JENNIFER CORONA TEITELBAUM is a healthcare provider. based in Port st lucie, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11015909 (FL). The NPI Number for JENNIFER CORONA TEITELBAUM is 1447915699

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER CORONA TEITELBAUM
NPI
1447915699
Phone
(203) 545-2371
Address
2828 SE TATE AVE
Enumeration Date
3 November 2021
Last Update Date
3 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7723350400
Graduation Year
2021 (5 years ago)
PAC ID
9931595337
Group Practice PAC ID
0840505525
Professional Enrollment ID
I20220412002345
Address ID
FL349527168PO2550XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:4State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JENNIFER CORONA TEITELBAUM

  • 2828 SE TATE AVE

    PORT ST LUCIE, FL 349848939

    Phone: (203) 545-2371

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-05-16 • Largest payer in this snapshot: Boston Scientific Corporation ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-16

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: 2022-04-12

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
I20220412002345INurse 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6463$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 34984)

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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: 0840505525View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerMA

Reviews

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Frequently asked questions

Can I verify JENNIFER CORONA TEITELBAUM with an NPI only?
You can start verification with NPI 1447915699 for JENNIFER CORONA TEITELBAUM, then check state licensing separately.
Can I rely on JENNIFER CORONA TEITELBAUM being an active provider?
As of the registry snapshot, JENNIFER CORONA TEITELBAUM is marked active.
What taxonomy line describes JENNIFER CORONA TEITELBAUM?
For research purposes, treat JENNIFER CORONA TEITELBAUM as Critical Care Medicine Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does JENNIFER CORONA TEITELBAUM list a practice location?
Patients near Port St Lucie, Florida may find JENNIFER CORONA TEITELBAUM in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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