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JENIFER DERSTINE ARNP
NPI 1386999670
Nurse Practitioner - Family in Jacksonville, FL

Active since July 23, 2012PECOS EnrolledAccepts Medicare Assignment
5238-16 NORWOOD AVE, JACKSONVILLE, FL 32208(904) 861-1222(904) 861-2688 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2025, Dec 4, 2021, Aug 31, 2020 (3 updates tracked since 2020).

About Jenifer Derstine Arnp NPPES

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

JENIFER DERSTINE ARNP (NPI 1386999670) is an individual family provider in Jacksonville, Florida, licensed in Florida (ARNP9203769) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1386999670
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENIFER DERSTINECredential: ARNP
Location Address5238-16 NORWOOD AVEJacksonville, FL 32208-5005
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(904) 861-1222
Fax(904) 861-2688
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 23, 2012
Last NPPES UpdateFebruary 13, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
✔ NPI 1386999670 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 · ARNP9203769
5238-16 NORWOOD AVE, Jacksonville, FL 32208
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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

Jenifer Derstine Arnp 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 ID3971750936
PECOS Enrollment IDI20120827000163
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 32208 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.

Other Providers at the Same Location NPPES 6

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

MRS. STELLA RODRIGUEZ BARRIOS M.D.
General Practice
5238-16 NORWOOD AVE
JACKSONVILLE, FL 32208
Duval County (904) 861-1222
DR. LULU AMORNMARN M.D., M.P.H.
Internal Medicine (Allergy & Immunology)
5238-16 NORWOOD AVE
JACKSONVILLE, FL 32208
Duval County (904) 861-1222
DR. ROSS EON JONES M.D.
Family Medicine
5238-16 NORWOOD AVE
JACKSONVILLE, FL 32208
Duval County (904) 861-1222
MR. DANIEL STANLEY HUTTO ARNP
Nurse Practitioner (Family)
5238-16 NORWOOD AVE
JACKSONVILLE, FL 32208
Duval County (904) 861-1222
GERMAN CAMACHO M.D.
General Practice
5238-16 NORWOOD AVE
JACKSONVILLE, FL 32208
Duval County (904) 861-1222
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Internal Medicine
5238-16 NORWOOD AVE
JACKSONVILLE, FL 32208
Duval County (904) 861-1222

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 Jenifer Derstine's NPI number?

The NPI number for Jenifer Derstine is 1386999670. It was assigned to this individual provider in the NPPES registry on July 23, 2012.

Where is Jenifer Derstine located?

Jenifer Derstine practices at 5238-16 Norwood Ave, Jacksonville, FL 32208. The listed phone number is (904) 861-1222.

What is Jenifer Derstine's specialty?

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

Is Jenifer Derstine enrolled in Medicare?

Yes. Jenifer Derstine 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 Jenifer Derstine was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.