JENIVIEVE MARIE MEDIAVILLA FNP-BC
NPI 1376391433
Nurse Practitioner - Family in Boynton Beach, FL

Active since May 13, 2024PECOS EnrolledAccepts Medicare Assignment
2300 S CONGRESS AVE STE 105, BOYNTON BEACH, FL 33426(561) 515-0080 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2024, May 13, 2024 (2 updates tracked since 2024).

About Jenivieve Marie Mediavilla Fnp-bc NPPES

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

JENIVIEVE MARIE MEDIAVILLA FNP-BC (NPI 1376391433) is an individual family provider in Boynton Beach, Florida, licensed in Florida (APRN11033044) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376391433
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENIVIEVE MARIE MEDIAVILLACredential: FNP-BC
Location Address2300 S CONGRESS AVE STE 105Boynton Beach, FL 33426-7400
Mailing Address2300 S Congress Ave Ste 105Boynton Beach, FL 33426-7400 · (561) 515-0080
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 13, 2024
Last NPPES UpdateJune 21, 20242 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
NPI 1376391433 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 · APRN11033044 Licensed in GA · RN301102
2300 S CONGRESS AVE STE 105, Boynton Beach, FL 33426

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jenivieve Marie Mediavilla Fnp-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.

PECOS PAC ID1052857497
PECOS Enrollment IDI20240722004133
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33426 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2300 S CONGRESS AVE STE 105
BOYNTON BEACH, FL 33426
Internal Medicine
2300 S CONGRESS AVE STE 105
BOYNTON BEACH, FL 33426
Nurse Practitioner (Acute Care)
2300 S CONGRESS AVE STE 105
BOYNTON BEACH, FL 33426
Nurse Practitioner (Family)
2300 S CONGRESS AVE STE 105
BOYNTON BEACH, FL 33426

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 Jenivieve Mediavilla's NPI number?

The NPI number for Jenivieve Mediavilla is 1376391433. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Jenivieve Mediavilla located?

Jenivieve Mediavilla practices at 2300 S Congress Ave Ste 105, Boynton Beach, FL 33426. The listed phone number is (561) 515-0080.

What is Jenivieve Mediavilla's specialty?

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

Is Jenivieve Mediavilla enrolled in Medicare?

Yes. Jenivieve Mediavilla 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.

When was this NPI record last updated?

The NPPES record for Jenivieve Mediavilla was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.