JENNIFER FAIN APRN, NP-C
NPI 1710252234
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Q: What is Jennifer Fain's NPI number?

The NPI number for Jennifer Fain is 1710252234. It was assigned to this individual provider in the NPPES registry on March 16, 2012.

Q: What is Jennifer Fain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Fain was last updated on February 28, 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 March 16, 2012PECOS EnrolledAccepts Medicare Assignment

3333 W 20TH ST, JACKSONVILLE, FL 32254(904) 695-9145(904) 695-2465 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2022, Mar 17, 2018, Nov 1, 2017 (3 updates tracked since 2017).

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About Jennifer Fain Aprn, Np-c NPPES

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

JENNIFER FAIN APRN, NP-C (NPI 1710252234) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (ARNP9464978) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1710252234

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENNIFER FAINCredential: APRN, NP-C

Location Address3333 W 20TH STJacksonville, FL 32254-1703

Mailing AddressPo Box 19249Jacksonville, FL 32245-9249 · (904) 743-1883 · Fax (904) 743-5309

Phone(904) 695-9145

Fax(904) 695-2465

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 16, 2012

Last NPPES UpdateFebruary 28, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2022

✔ NPI 1710252234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in FL · ARNP9464978✔ Licensed in FL · 9464978

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 9464978 (FL)

Also ListedRegistered NurseTaxonomy 163W00000X · License 170984 (TN)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 16095 (TN)

3333 W 20TH ST, Jacksonville, FL 32254

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Secondary Practice Locations 2

Location 12245 S Lauderdale StMemphis, TN 38106-7517 · Phone (901) 948-5558 · Fax (901) 774-9031

Location 211820 Beach BlvdJacksonville, FL 32246-6670 · Phone (904) 642-9100 · Fax (904) 642-9108

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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

Jennifer Fain Aprn, Np-c 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 ID5799931457

PECOS Enrollment IDI20171221001007

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.

Areas of Expertise CMS Part B claims

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 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.

79 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32254 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 20

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

MRS. ALICIA JUDITH COOPER BS

Social Worker