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JESSICA RENNEISEN PA-C
NPI 1730694597
Physician Assistant in Fort Lauderdale, FL

Active since December 02, 2017
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308(954) 414-9750 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2023, Dec 2, 2017 (2 updates tracked since 2017).

About Jessica Renneisen Pa-c NPPES

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

JESSICA RENNEISEN PA-C (NPI 1730694597) is an individual physician assistant in Fort Lauderdale, Florida, licensed in Florida (PA9110877) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1730694597
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA RENNEISENCredential: PA-C
Location Address4725 N FEDERAL HWYFort Lauderdale, FL 33308-4603
Mailing AddressPo Box 100296Gainesville, FL 32610-0296 · (352) 627-9350 · Fax (352) 273-9054
Phone(954) 414-9750
Sole ProprietorYes
Enumeration DateDecember 2, 2017
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1730694597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9110877
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4725 N FEDERAL HWY, Fort Lauderdale, FL 33308
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

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.

1ST ASSIST OF SOUTH FLORIDA LLC
Physician Assistant (Surgical)
4725 N FEDERAL HWY
FT LAUDERDALE, FL 33308
Broward County (954) 771-8000
MARY ELIZABETH MCNERNEY
Nurse Anesthetist, Certified Registered
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (954) 771-8000
MARK DRUCKER MD
Emergency Medicine
4725 N FEDERAL HWY
FT LAUDERDALE, FL 33308
Broward County (954) 771-8000
MRS. HOLLY HIRNYK APRN
Nurse Practitioner (Acute Care)
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (614) 679-7841
JULIAN ALEXANDER PURRINOS
Student in an Organized Health Care Education/Training Program
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (954) 542-3359
KATHY NGUYEN TRUONG MD
Student in an Organized Health Care Education/Training Program
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (954) 542-3359
DAVID GOZANSKY MD
Specialist
4725 N FEDERAL HWY
FT LAUDERDALE, FL 33308
Broward County (954) 938-0500
DR. JOSHUA MICHAEL LARNED M.D.
Internal Medicine (Cardiovascular Disease)
4725 N FEDERAL HWY, SUITE 401
FORT LAUDERDALE, FL 33308
Broward County (954) 772-2136

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 Jessica Renneisen's NPI number?

The NPI number for Jessica Renneisen is 1730694597. It was assigned to this individual provider in the NPPES registry on December 2, 2017.

Where is Jessica Renneisen located?

Jessica Renneisen practices at 4725 N Federal Hwy, Fort Lauderdale, FL 33308. The listed phone number is (954) 414-9750.

What is Jessica Renneisen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Jessica Renneisen accept?

Health plans from Oscar Health Maintenance Organization of Florida list Jessica Renneisen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Renneisen was last updated on October 5, 2023. 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.