Individual provider Active NPI

Jenny Lynn Stillman, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bradford, NH
National Provider Identifier
1093316093
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
063382-23 Issued in NH
Practice address
92 Center Rd
Bradford, NH 03221-3600
Phone
(603) 680-1082
NPI assigned
Nov 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 063382-23 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 063382-23 NH Primary

Addresses

Primary practice location

92 Center Rd
Bradford, NH 03221-3600

Mailing address

445 Cypress St Ste 8
Manchester, NH 03103-3600
Phone (603) 668-4079

Other practice location 1

445 Cypress St Ste 8
Manchester, NH 03103-3600
Phone (603) 668-4079

Other names 1

  • Jenny Lynn Pollock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20240611001820 NH Practitioner - Nurse Practitioner 3870035447 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roots to Remedies Healthcare, LLC CurrentSince Jan 12, 2025 Accepting new patients
Valley Regional Hospital ,Inc. CurrentSince Jul 1, 2025 Accepting new patients
Bruce J Lewis M.D. Current Accepting new patients
Valley Regional Hospital, Inc CurrentSince Jul 1, 2025 Accepting new patients
Valley Regional Hospital Inc. Current Accepting new patients
Valley Regional Hospital Inc. Current Accepting new patients
Elliot Professional Services PastSince Jun 1, 2024 Accepting new patients

Locations

243 Elm St
Claremont, NH 03743
Phone (603) 542-7771

5 Dunning St
Ste 1
Claremont, NH 03743
Phone (603) 542-6700

241 Elm St
Claremont, NH 03743
Phone (603) 542-7666

7 Dunning St
Claremont, NH 03743
Phone (603) 542-6700

224 Elm St
Claremont, NH 03743
Phone (603) 542-9563

Interoperability endpoints

  • Direct secure messaging: jenny.stillman.1@16301.direct.athenahealth.com
  • Direct secure messaging: vrhjstill@yourcarecommunity.org

Organizations & group practices 7

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": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1093316093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CYPRESS ST STE 8",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033600",
            "telephone_number": "603-668-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 CENTER RD",
            "city": "BRADFORD",
            "state": "NH",
            "postal_code": "032213600",
            "telephone_number": "603-680-1082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Cypress St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031033600",
            "country_code": "US",
            "telephone_number": "603-668-4079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLMAN",
        "first_name": "JENNY",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "063382-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "063382-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "POLLOCK",
            "middle_name": "LYNN",
            "credential": "APRN-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bradford, NH

Sources for this page

Verify at the official NPI Registry.