Individual provider Active NPI

Jennifer Jones Markland, AGNP-C

  • Adult Health Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1013661339
Registry record updated Feb 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5015733 Issued in NC
Practice address
101 Hospice LN
Winston Salem, NC 27103-5766
Phone
(336) 768-3972
NPI assigned
Feb 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5015733 NC Primary

Addresses

Primary practice location

101 Hospice LN
Winston Salem, NC 27103-5766

Mailing address

413 Vogler Rd
Advance, NC 27006-7546
Phone (336) 768-3972

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
I20220811001273 NC Practitioner - Nurse Practitioner 4082097894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospice and Palliative CarecenterGroup PAC ID 4688604408, 6 clinicians

Practice addresses (Care Compare)

101 Hospice LN
Winston Salem, NC 27103-5766
Phone (336) 768-3972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5015733NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice & Palliative Carecenter CurrentSince Apr 15, 2022 Accepting new patients
Hospice & Palliative Carecenter CurrentSince Apr 15, 2022 Accepting new patients

Locations

101 Hospice Ln
Winston Salem, NC 27103
Phone (336) 768-3972

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": "1644105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644105600000",
    "number": "1013661339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 VOGLER RD",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270067546",
            "telephone_number": "336-768-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPICE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035766",
            "telephone_number": "336-768-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKLAND",
        "first_name": "JENNIFER",
        "middle_name": "JONES",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-06",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5015733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.