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

Jessica L Fong

Individual provider Family Nurse Practitioner · NPI 1629859335

Jessica L Fong is a Nurse Practitioner in Crystal River, Florida. Qualified in 2023, 3 years ago. Practices with Meadowcrest Family Physicians PA, a 10-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

1250 N Vantage Point Dr
Crystal River, FL 34429-5736
Phone: (352) 795-0644
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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 11029103 (FL)

Record details

NPI number1629859335
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2023
Last updated in NPPESOctober 9, 2023
Certification dateSeptember 23, 2023

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 Meadowcrest Family Physicians Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crystal River