Jennifer Dawn Clyatt, APRN, AGNP-C - Medicare Nurse Practitioner in Valrico, FL

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Jennifer Dawn Clyatt, APRN, AGNP-C is a medicare enrolled "Nurse Practitioner - Gerontology" in Valrico, Florida. Her current practice location is 2470 Bloomingdale Ave Ste 260, Valrico, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 725-7220.

Jennifer Dawn Clyatt is licensed to practice in Florida (license number APRN11001024) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073179602.

Contact Information

Jennifer Dawn Clyatt, APRN, AGNP-C
2470 Bloomingdale Ave Ste 260,
Valrico, FL 33596-6403
(813) 725-7220
(813) 725-7221

Map and Direction




Provider's Profile

Full NameJennifer Dawn Clyatt
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location2470 Bloomingdale Ave Ste 260, Valrico, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073179602
  • Provider Enumeration Date: 05/20/2019
  • Last Update Date: 07/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8527356526
  • Enrollment ID: I20190611000805

Medical Identifiers

Medical identifiers for Jennifer Dawn Clyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073179602NPI-NPPES
APRN11001024OtherFLMED LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care APRN1101024 (Florida)Secondary
363LG0600XNurse Practitioner - Gerontology APRN11001024 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Dawn Clyatt allows following entities to bill medicare on her behalf.
Entity NamePinnacle Health Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023004231
PECOS PAC ID: 6507823440
Enrollment ID: O20041213000732
Entity NameMillennium Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811122880
PECOS PAC ID: 9830244433
Enrollment ID: O20090903000338
Entity NameUltra Health Providers Of Florida
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528549490
PECOS PAC ID: 9335487255
Enrollment ID: O20190219000020

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Dawn Clyatt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Dawn Clyatt, APRN, AGNP-C
2675 Winkler Ave Fl 2,
Fort Myers, FL 33901-9342

Ph: (877) 856-3774		Jennifer Dawn Clyatt, APRN, AGNP-C
2470 Bloomingdale Ave Ste 260,
Valrico, FL 33596-6403

Ph: (813) 725-7220

Reviews and Comments


Nurse Practitioner Nurses in Valrico, FL

Cha Quanda Wade, APRN
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Practice Location: 2619 Shilo Ct, Valrico, FL 33596
Phone: 813-508-3197    
Christine Edwards,
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Phone: 813-571-1111    
Jordan Dorsey, NURSE PRACTITIONER
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Practice Location: 2721 Brianholly Dr, Valrico, FL 33596
Phone: 813-431-9147    
Lauren Cathryn Endick, ARNP
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Practice Location: 2553 Mason Oaks Dr, Valrico, FL 33596
Phone: 813-940-6046    Fax: 866-451-4607
Brittney Poole Gurski,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3444 Lithia Pinecrest Rd, Valrico, FL 33596
Phone: 813-643-9393    
Mrs. Kelly Bulaclac, ARNP
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Practice Location: 2946 Hickory Grove Dr, Valrico, FL 33596
Phone: 813-317-6005    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.