JENNIFER POUCHER
NPI 1255084976
Nurse Practitioner - Family in Madison, FL

Q: What is Jennifer Poucher's NPI number?

The NPI number for Jennifer Poucher is 1255084976. It was assigned to this individual provider in the NPPES registry on February 2, 2022.

Q: What is Jennifer Poucher's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Poucher was last updated on February 2, 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.

Active since February 02, 2022PECOS EnrolledAccepts Medicare Assignment

289 SW RANGE AVE STE C, MADISON, FL 32340(850) 973-2252(855) 531-6313 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Jennifer Poucher NPPES

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

JENNIFER POUCHER (NPI 1255084976) is an individual family provider in Madison, Florida, licensed in Florida (11017863) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Lake City Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1255084976

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER POUCHER

Location Address289 SW RANGE AVE STE CMadison, FL 32340-2351

Mailing Address3966 72nd StLive Oak, FL 32060-7406 · (386) 249-1194

Phone(850) 973-2252

Fax(855) 531-6313

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 2, 2022

NPPES CertifiedFebruary 2, 2022

✔ NPI 1255084976 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

License✔ Licensed in FL · 11017863

289 SW RANGE AVE STE C, Madison, FL 32340

Open in Google Maps ↗

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

Jennifer Poucher 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.

PECOS PAC ID7113311184

PECOS Enrollment IDI20220308002828

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 Reassignment

Medicare enrollment records show Jennifer Poucher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ascension Internal Medicine Of Florida, LLC

Internal Medicine

1426 CANYON AVE NE STE C
Live Oak, FL 32064

Reassigned Medicare billing, Florida enrollment
7 clinicians in this Medicare group

NPI 1811233505 (386) 208-0537

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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

501 services269 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

61 services61 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

24 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services15 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

14 services13 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

14 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100156

Location340 NW Commerce DrLake City, FL 32055 · Columbia County

Emergency services

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100204

Location6500 W Newberry RdGainesville, FL 32605 · Alachua County

Emergency services Birthing friendly

Madison County Memorial Hospital

Critical Access Hospitals · Madison, FL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number101311

Location224 NW Crane AveMadison, FL 32340 · Madison County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32340 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 Jennifer Poucher's NPI number?

The NPI number for Jennifer Poucher is 1255084976. It was assigned to this individual provider in the NPPES registry on February 2, 2022.

Where is Jennifer Poucher located?

Jennifer Poucher practices at 289 SW Range Ave Ste C, Madison, FL 32340. The listed phone number is (850) 973-2252.

What is Jennifer Poucher's specialty?

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

Is Jennifer Poucher enrolled in Medicare?

Yes. Jennifer Poucher 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 organization bills Medicare for Jennifer Poucher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Poucher reassigns Medicare benefits to Ascension Internal Medicine Of Florida, LLC (Live Oak, FL). The 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 Jennifer Poucher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jennifer Poucher affiliated with any hospitals?

According to CMS data, Jennifer Poucher is affiliated with Hca Florida Lake City Hospital, Hca Florida North Florida Hospital and Madison County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Poucher was last updated on February 2, 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.