Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548300379 Individual Practitioner Female Practitioner

Dr. Jessica Lopez Phelps , MD

Pediatrics • Bartow, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jessica Lopez Phelps, MD is a registered healthcare professional specializing in Pediatrics in Bartow, FL. Practice services are available at 1350 E MAIN ST STE 5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1350 E Main St Ste 5

Bartow, FL 338305065

Telephone 8662348534
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bartow, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Bartow, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-21
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME174347

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Adolescent Medicine

NUCC Taxonomy Code: 2080A0000X

State License IN 01059534A

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200500370 (IN)

Secondary Practice Locations

7220 E Virginia St

Evansville, IN 477154068

Phone: 8124738986

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Roseline Blanc , APRN-C

Nurse Practitioner - Family

NPI 1013431873

APRNC

Dr. Ria Sajnani , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1013536606

Doctor of Podiatric Medicine

Dr. Syed Qadri , MD

Obstetrics & Gynecology

NPI 1053493171

Doctor of Medicine (M.D.)

NPI 1063443612

Doctor of Medicine (M.D.)

NPI 1083097406

Doctor of Medicine (M.D.)

Ingrid Atiles

Psychologist - Clinical

NPI 1093096596

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 21, 2025

Registered at 1350 E MAIN ST STE 5, BARTOW, FL 338305065 (Tel: 8662348534)

📍
Updated Business Mailing Address May 21, 2025

Registered at 47 5TH ST NW, WINTER HAVEN, FL 338814672 (Tel: 8662348534)

👤
Provider Name / Credentials Updated May 21, 2025

Recorded as JESSICA LOPEZ PHELPS, M.D.

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 7220 E VIRGINIA ST, EVANSVILLE, IN 477154068 (Tel: 8124738986)

📍
Updated Business Mailing Address July 08, 2007

Registered at 7220 E VIRGINIA ST, EVANSVILLE, IN 477154068 (Tel: 8124738986)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JESSICA LOPEZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #01059534A in IN)

🟢
Initial NPI Registration & Enumeration February 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jessica Lopez Phelps. Be the first to share your experience!

Sign in to leave a review for Dr. Jessica Lopez Phelps

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1548300379
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2007
Last Update: May 21, 2025
Sole Proprietor: No

Mailing Address

47 5th St Nw

Winter Haven, FL 338814672

Phone: 8662348534

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.