NPIMap

Individual provider Active NPI

Jennifer S Meyer, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Bradford, VT
National Provider Identifier
1093499840
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0136372 Issued in VT
Practice address
437 S Main St
Bradford, VT 05033-9196
Phone
(802) 222-9317
Fax
(888) 462-0883
NPI assigned
Jun 12, 2023
Last updated
Aug 20, 2024By the provider in NPPES
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 101.0136372 VT Primary

Addresses

Primary practice location

437 S Main St
Bradford, VT 05033-9196

Mailing address

PO Box 338
Bradford, VT 05033-0338
Phone (802) 222-9317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230907000499 VT Practitioner - Nurse Practitioner 6507220761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Rivers Health Care, Inc.Group PAC ID 8224031497, 30 clinicians

Practice addresses (Care Compare)

437 S Main St
Little Rivers HC Inc
Bradford, VT 05033-0338
Phone (802) 222-9317

65 Main St
Wells River, VT 05081-3000
Phone (807) 757-2325

720 Village Rd
East Corinth, VT 05040-9783
Phone (802) 439-5321

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Little Rivers Health Care, Inc. CurrentSince Jul 26, 2024 Accepting new patients
Northeast Washington County Community Health, Inc. CurrentSince Aug 7, 2023 Accepting new patients
Northeast Washington County Community Health Inc CurrentSince Aug 7, 2023 Accepting new patients
Little Rivers Health Care, Inc. Family CurrentSince Jul 26, 2024 Accepting new patients
Northwest Michigan Health Services, Inc. Past Accepting new patients
Little Rivers Health Care, Inc. Past Accepting new patients
Little Rivers Health Care, Inc. Past Accepting new patients
Little Rivers Health Care, Inc. Past Accepting new patients

Locations

4628 Main St S
Newbury, VT 05051
Phone (802) 866-3000

157 Towne Ave
Plainfield, VT 05667
Phone (802) 322-6613

Organizations & group practices 8

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

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1093499840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "050330338",
            "telephone_number": "802-222-9317",
            "fax_number": "888-462-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 S MAIN ST",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "050339196",
            "telephone_number": "802-222-9317",
            "fax_number": "888-462-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0136372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, VT

Sources for this page

Verify at the official NPI Registry.