Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jenivieve Marie Mediavilla, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1376391433

Jenivieve Marie Mediavilla, FNP-BC is a Nurse Practitioner in Boynton Beach, Florida. Qualified in 2023, 3 years ago. Practices with Connect Rpm LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Georgia.

Years since qualifying
3
Licensed in
FL, GA
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2300 S Congress Ave Ste 105
Boynton Beach, FL 33426-7400
Phone: (561) 515-0080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11033044 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN301102 (GA)

Record details

NPI number1376391433
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMay 13, 2024
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Connect Rpm Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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