JESSICA K WHITE APRN-BC
NPI 1104391465
Nurse Practitioner - Family in Lake Mary, FL
About Jessica K White Aprn-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA K WHITE APRN-BC (NPI 1104391465) is an individual family provider in Lake Mary, Florida, licensed in Florida (APRN9354800) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica K White Aprn-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Jessica White reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange City, FL 32763
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Skin Dermatology And Cosmetic Services PA
- 6 clinicians in this Medicare group
Orlando, FL 32835
- Reassigned Medicare billing, Florida enrollment
- 64 clinicians in this Medicare group
New Smyrna Beach, FL 32168
- Reassigned Medicare billing, Florida enrollment
- 7 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32746 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jessica White's NPI number?
The NPI number for Jessica White is 1104391465. It was assigned to this individual provider in the NPPES registry on October 12, 2018.
Where is Jessica White located?
Jessica White practices at 1035 Primera Blvd, Lake Mary, FL 32746. The listed phone number is (407) 333-3040.
What is Jessica White's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica White enrolled in Medicare?
Yes. Jessica White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jessica White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica White reassigns Medicare benefits to 3 organizations: Skin Dermatology And Cosmetic Services, P.A. (Orange City, FL), Mid-Florida Dermatology Associates P.A. (Orlando, FL) and Anchor Injury And Integrative Health, LLC (New Smyrna Beach, FL). 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 Jessica White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica White accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and Wellpoint list Jessica White 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 Jessica White was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jessica K White, APRN-BC · NPI 1104391465
Family physician in Lake Mary, Florida. Individual provider, active in the CMS NPPES registry since October 12, 2018.
## Identity
- **NPI:** 1104391465 (Entity type: Individual)
- **Enumerated:** October 12, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN9354800 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1035 PRIMERA BLVD, Lake Mary, FL 32746-2193
- **Phone:** (407) 333-3040
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Skin Dermatology And Cosmetic Services, P.A. (NPI 1205270824, Orange City, FL); Mid-Florida Dermatology Associates P.A. (NPI 1619018561, Orlando, FL); Anchor Injury And Integrative Health, LLC (NPI 1023886850, New Smyrna Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 31, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104391465) · Data from the CMS NPPES public registry.