Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Collier Boulevard Hma Physician Management LLC

Family Medicine Physician in Naples, FL · enumerated 2021 · authorized official Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477126621

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Registry record

Entity type Organization (Type 2)

Legal business name Collier Boulevard Hma Physician Management LLC

Other name <Unavail>

Practice address 6376 Pine Ridge Rd Unit 110, Naples, FL, 34119

Phone (209) 348-4221

Fax (239) 394-1677

Enumeration date Jul 23, 2021

Last updated in NPPES Mar 9, 2022

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

207QA0505X Adult Medicine Physician Allopathic & Osteopathic Physicians Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jennifer Jackson

Title Sr Dir Prov Enrollment & Onboarding

Phone (615) 465-3334

Other identifiers

Identifier	Type	State	Issuer
PENDING	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Collier Boulevard Hma Physician Management LLC?

NPPES lists Jennifer Jackson (Sr Dir Prov Enrollment & Onboarding) as the authorized official for this organization.

What is the NPI number for Collier Boulevard Hma Physician Management LLC?

The NPI for Collier Boulevard Hma Physician Management LLC is 1477126621, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Maria Lopez Whitney Physician Assistant · Naples, FL NPI 1083247183 Collier Hma Physician Management LLC Family Medicine Physician · Naples, FL NPI 1336712587

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-09.