JENNIFER UPCRAFT NPI 1629499504

NPI Information

  • NPI: 1629499504
  • Provider Name: JENNIFER UPCRAFT
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10990 BLACKTAIL LOOP
    PENSACOLA, FL
    ZIP 32526
  • Phone: (618) 559-7363

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NPI Details

Jennifer Upcraft is a psychiatric/mental health nurse practitioner in Pensacola, FL with 12 years of experience. Jennifer Upcraft NPI is 1629499504. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

10990 BLACKTAIL LOOP
PENSACOLA, FL
ZIP 32526-578
Phone: (618) 559-7363
Fax: (448) 600-2499

The NPI 1629499504 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)

The enumeration date for this NPI number is 12/19/2013 and was last updated on 5/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health202005777NP-PPOREGONNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthARNP9396651FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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