JENNA LEIGH TILLETT APRN
NPI 1023581436
Nurse Practitioner - Family in Tampa, FL

Active since January 08, 2019PECOS Enrolled
14105 MCCORMICK DR # NA, TAMPA, FL 33626(813) 481-0064 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 14, 2023, Aug 19, 2022, Jul 11, 2019 and 1 more (4 updates tracked since 2019).

About Jenna Leigh Tillett Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA LEIGH TILLETT APRN (NPI 1023581436) is an individual family provider in Tampa, Florida, licensed in Florida (APRN11000831) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023581436
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNA LEIGH TILLETTCredential: APRN
Location Address14105 MCCORMICK DR # NATampa, FL 33626-3019
Mailing Address5201 S Farkas RdPlant City, FL 33567-1724 · (813) 481-0064
Sole ProprietorNo
Enumeration DateJanuary 8, 2019
Last NPPES UpdateJune 14, 20234 updates tracked since enumeration
NPPES CertifiedJune 14, 2023
✔ NPI 1023581436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in FL · APRN11000831✔ Licensed in CT · 11417
14105 MCCORMICK DR # NA, Tampa, FL 33626

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Leigh Tillett Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Jenna Tillett reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
11969 SHELDON RD
Tampa, FL 33626
  • Reassigned Medicare billing, Florida enrollment
  • 118 clinicians in this Medicare group
Urgent Care
2600 WESTHALL LN
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 82 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1600 FORT BENNING ROAD
Columbus, GA 31903
  • Reassigned Medicare billing, Georgia enrollment
  • 34 clinicians in this Medicare group
Family Medicine
4600 BOHANNON DR STE 100
Menlo Park, CA 94025
  • Reassigned Medicare billing, Texas enrollment
  • 28 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33626 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Tillett's NPI number?

The NPI number for Jenna Tillett is 1023581436. It was assigned to this individual provider in the NPPES registry on January 8, 2019.

Where is Jenna Tillett located?

Jenna Tillett practices at 14105 Mccormick Dr # Na, Tampa, FL 33626. The listed phone number is (813) 481-0064.

What is Jenna Tillett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jenna Tillett enrolled in Medicare?

Yes. Jenna Tillett is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jenna Tillett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Tillett reassigns Medicare benefits to 4 organizations: Synergic Healthcare Solutions LLC (Tampa, FL), Urgent Care Centers Of Brevard County LLC (Maitland, FL), Valley Healthcare System Inc (Columbus, GA) and Sprinter Medical West PC (Menlo Park, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenna Tillett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jenna Tillett accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Jenna Tillett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jenna Tillett was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.