Individual provider Active NPI

Jennifer Flo Norris, CRNP

  • Family Nurse Practitioner
  • Erie, PA
National Provider Identifier
1003649690
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030402 Issued in PA
Practice address
4120 Westminster Blvd
Erie, PA 16506-3816
Phone
(814) 440-2278
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP030402 PA Primary

Addresses

Primary practice location

4120 Westminster Blvd
Erie, PA 16506-3816

Mailing address

4120 Westminster Blvd
Erie, PA 16506-3816
Phone (814) 440-2278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241214000528 PA Practitioner - Nurse Practitioner 5991231805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN Associates of Erie, PCGroup PAC ID 9133028616, 60 clinicians

Practice addresses (Care Compare)

2315 Myrtle St
Suite 220
Erie, PA 16502-4609
Phone (814) 454-8185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP030402PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Associates of Erie, PC CurrentSince Dec 16, 2024 Accepting new patients
Francis H. Tseng MD PastSince Dec 16, 2024 Accepting new patients

Locations

2861 W 26th St
Ste 1
Erie, PA 16506
Phone (814) 480-7760

100 Peach St
Ste 300
Erie, PA 16507
Phone (814) 459-1851

2315 Myrtle St
Ste 220
Erie, PA 16502
Phone (814) 454-8185

2861 W 26th St
Erie, PA 16506
Phone (814) 480-7760

11031 Perry Hwy
Meadville, PA 16335
Phone (814) 333-4170

Interoperability endpoints

  • Direct secure messaging: jennifer.norris.1@28732.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1003649690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 WESTMINSTER BLVD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063816",
            "telephone_number": "814-440-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 WESTMINSTER BLVD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063816",
            "telephone_number": "814-440-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "JENNIFER",
        "middle_name": "FLO",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.