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DR. JENNIFER MELAINA SELF PHD, PMHNP-BC, LMHC
NPI 1801174008
Nurse Practitioner - Psychiatric/Mental Health in Clearwater, FL

Active since July 22, 2011PECOS Enrolled
28465 US HIGHWAY 19 N, CLEARWATER, FL 33761(727) 600-8093(727) 240-0604 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Feb 3, 2022, Dec 18, 2017, Nov 14, 2016 and 1 more (4 updates tracked since 2015).

About Dr. Jennifer Melaina Self Phd, Pmhnp-bc, Lmhc NPPES

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

DR. JENNIFER MELAINA SELF PHD, PMHNP-BC, LMHC (NPI 1801174008) is an individual psychiatric/mental health provider in Clearwater, Florida, licensed in Florida (11017864) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801174008
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. JENNIFER MELAINA SELFCredential: PHD, PMHNP-BC, LMHC
Location Address28465 US HIGHWAY 19 NClearwater, FL 33761-2511
Mailing Address8200 Bayshore Dr Apt 1Treasure Island, FL 33706-5231 · (314) 239-8190
Phone(727) 600-8093
Fax(727) 240-0604
Sole ProprietorNo
Enumeration DateJuly 22, 2011
Last NPPES UpdateFebruary 3, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1801174008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · 11017864
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2002032344 (MO), 17148 (FL)
28465 US HIGHWAY 19 N, Clearwater, FL 33761
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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 (PECOS)

Dr. Jennifer Melaina Self Phd, Pmhnp-bc, Lmhc 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 33761 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 2

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

MS. CATHI ANN STEPHENS NP-C
Nurse Practitioner (Psychiatric/Mental Health)
28465 US HIGHWAY 19 N
CLEARWATER, FL 33761
Pinellas County (727) 776-5165
SUNCOAST RC, LLC
Counselor (Mental Health)
28465 US HIGHWAY 19 N, SUITE 200
CLEARWATER, FL 33761
Pinellas County (727) 600-8093

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 Jennifer Self's NPI number?

The NPI number for Jennifer Self is 1801174008. It was assigned to this individual provider in the NPPES registry on July 22, 2011.

Where is Jennifer Self located?

Jennifer Self practices at 28465 Us Highway 19 N, Clearwater, FL 33761. The listed phone number is (727) 600-8093.

What is Jennifer Self's specialty?

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

Is Jennifer Self enrolled in Medicare?

Yes. Jennifer Self is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Self was last updated on February 3, 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.