Individual provider Active NPI

Jennifer Lynn Anderson

  • Nurse Practitioner
  • Morristown, NJ
National Provider Identifier
1063387736
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15437300 Issued in NJ
Practice address
310 Madison Ave Ste 300
Morristown, NJ 07960-6967
Phone
(973) 494-7494
NPI assigned
Oct 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ15437300 NJ Primary

Addresses

Primary practice location

310 Madison Ave Ste 300
Morristown, NJ 07960-6967

Mailing address

310 Madison Ave Ste 300
Morristown, NJ 07960-6967
Phone (973) 494-7494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20251216003963 NJ Practitioner - Nurse Practitioner 1456846575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maxim Brain and SpineGroup PAC ID 1557712981, 25 clinicians

Practice addresses (Care Compare)

310 Madison Ave
Suite 300
Morristown, NJ 07960-6967
Phone (973) 206-1477

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15437300NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maxim Brain and Spine CurrentSince Jan 1, 2026 Accepting new patients
Vista Pain Management, LLC PastSince Nov 19, 2023 Accepting new patients

Locations

197 Ridgedale Ave
Ste 225
Cedar Knolls, NJ 07927
Phone (862) 260-4265

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

310 Madison Ave
Ste 300
Morristown, NJ 07960
Phone (973) 285-7800

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": "1760054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1063387736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MADISON AVE STE 300",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606967",
            "telephone_number": "973-494-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MADISON AVE STE 300",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606967",
            "telephone_number": "973-494-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15437300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.