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JENNYFER D GUTIERREZ ALFONSO
NPI 1902629520
Nurse Practitioner - Family in Longwood, FL

Active since November 02, 2024PECOS EnrolledAccepts Medicare Assignment
292 E LONG CREEK CV, LONGWOOD, FL 32750(407) 460-5997 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennyfer D Gutierrez Alfonso NPPES

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

JENNYFER D GUTIERREZ ALFONSO (NPI 1902629520) is an individual family provider in Longwood, Florida, licensed in Florida (11036426) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902629520
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNYFER D GUTIERREZ ALFONSO
Location Address292 E LONG CREEK CVLongwood, FL 32750-3435
Mailing Address11616 Lake Underhill Rd Ste 215Orlando, FL 32825-4465 · (407) 482-7788
Phone(407) 460-5997
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 2, 2024
Last NPPES UpdateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
✔ NPI 1902629520 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 · 11036426
292 E LONG CREEK CV, Longwood, FL 32750
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennyfer D Gutierrez Alfonso 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 ID6608392790
PECOS Enrollment IDI20250501002029
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.

Medicare Billing Reassignment

Medicare enrollment records show Jennyfer Gutierrez Alfonso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Halifax Healthcare Systems Inc
38 mi
Family Medicine
303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 786 clinicians in this Medicare group
NPI 1245283530 (386) 254-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32750 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.

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 Jennyfer Gutierrez Alfonso's NPI number?

The NPI number for Jennyfer Gutierrez Alfonso is 1902629520. It was assigned to this individual provider in the NPPES registry on November 2, 2024.

Where is Jennyfer Gutierrez Alfonso located?

Jennyfer Gutierrez Alfonso practices at 292 E Long Creek Cv, Longwood, FL 32750. The listed phone number is (407) 460-5997.

What is Jennyfer Gutierrez Alfonso's specialty?

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

Is Jennyfer Gutierrez Alfonso enrolled in Medicare?

Yes. Jennyfer Gutierrez Alfonso 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.

Which organization bills Medicare for Jennyfer Gutierrez Alfonso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennyfer Gutierrez Alfonso reassigns Medicare benefits to Halifax Healthcare Systems Inc (Daytona Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennyfer Gutierrez Alfonso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennyfer Gutierrez Alfonso was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.