Individual provider Active NPI

Jennifer Sass, FNP

  • Family Nurse Practitioner
  • Concord, NC
National Provider Identifier
1013557461
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
231504 Issued in NC
Practice address
202D McGill Ave NW
Concord, NC 28025-4615
Phone
(980) 253-6235
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 231504 NC
Family Nurse Practitioner 363LF0000X 231504 NC Primary

Addresses

Primary practice location

202D McGill Ave NW
Concord, NC 28025-4615

Mailing address

117 Willow LN NW
Concord, NC 28025-4949
Phone (980) 253-6235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20201119001329 NC Practitioner - Nurse Practitioner 0244641462 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince Aug 8, 2020 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince Aug 8, 2020 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. Current Accepting new patients

Locations

202D McGill Ave NW
Concord, NC 28025
Phone (704) 792-2242

Interoperability endpoints

  • Direct secure messaging: jennifer.sass.1@12871.direct.athenahealth.com

Organizations & group practices 3

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": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1013557461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WILLOW LN NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254949",
            "telephone_number": "980-253-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202D MCGILL AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254615",
            "telephone_number": "980-253-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASS",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "231504",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "231504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.