JENNIFER RAE WITT CPNP
NPI 1629190731
Nurse Practitioner - Pediatrics in Port St Lucie, FL

Active since April 06, 2007PECOS Enrolled
150 SW CHAMBER CT STE 101, PORT ST LUCIE, FL 34986(772) 301-0123(772) 301-0124 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 7, 2023, Jan 9, 2017, Dec 22, 2015 (3 updates tracked since 2015).

About Jennifer Rae Witt Cpnp NPPES

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

JENNIFER RAE WITT CPNP (NPI 1629190731) is an individual pediatrics provider in Port St Lucie, Florida, licensed in Florida (APRN11008019) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629190731
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJENNIFER RAE WITTCredential: CPNP
Location Address150 SW CHAMBER CT STE 101Port St Lucie, FL 34986-3413
Mailing Address150 Sw Chamber Ct Ste 101Port St Lucie, FL 34986-3413
Fax(772) 301-0124
Sole ProprietorNo
Enumeration DateApril 6, 2007
Last NPPES UpdateNovember 7, 20233 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
NPI 1629190731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in FL · APRN11008019 Licensed in NC · 0050-1620 Licensed in NC · 203964
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5001620 (NC)
150 SW CHAMBER CT STE 101, Port St Lucie, FL 34986

Other Names 1

Former Name (1)Jennifer Rae Tigner Cpnp

Other Identifiers 3

Medicaid7005607NC
MedicaidNP3325SC
Medicaid1629190731NC

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Rae Witt Cpnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34986 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 3

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

Pediatrics
150 SW CHAMBER CT STE 101
PORT ST LUCIE, FL 34986
Pediatrics
150 SW CHAMBER CT STE 101
PORT SAINT LUCIE, FL 34986
Internal Medicine
150 SW CHAMBER CT STE 101
PORT ST LUCIE, FL 34986

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629190731, enumerated as an "individual" on April 06, 2007.

The provider is located at 150 SW CHAMBER CT STE 101 PORT ST LUCIE, FL 34986 and the phone number is (772) 301-0123.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.