Individual provider Active NPI

Jacquelyn Jean Hovis, CRNP

  • Family Nurse Practitioner
  • Lenoir, NC
National Provider Identifier
1124498878
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011486 Issued in NC
Practice address
902 Kirkwood Ave NW
Lenoir, NC 28645-5121
Phone
(828) 754-0101
Fax
(828) 757-0402
NPI assigned
Oct 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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 5011486 NC Primary
Nurse Practitioner 363L00000X 5011486 NC

Addresses

Primary practice location

902 Kirkwood Ave NW
Lenoir, NC 28645-5121

Mailing address

902 Kirkwood Ave NW
Lenoir, NC 28645-5121
Phone (828) 754-0101

Other identifiers 4

IdentifierTypeStateIssuer
145314OtherNCREGISTERED NURSE LICENSE
14424377OtherCAQH
5011486OtherNCNURSE PRACTITIONER LICENSE
1124498878MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhovis@amoremsupport.org

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
I20190429001736 NC Practitioner - Nurse Practitioner 9830495696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caldwell Hospice and Palliative Care IncGroup PAC ID 4183669047, 8 clinicians

Practice addresses (Care Compare)

902 Kirkwood Ave NW
Lenoir, NC 28645-5121
Phone (828) 754-0101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Apr 7, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Apr 7, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Caldwell Hospice and Palliative Care, Inc. PastSince Mar 1, 2019 Accepting new patients

Locations

901 Burkemont Ave
Morganton, NC 28655
Phone (828) 347-9181

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

Organizations & group practices 5

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": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1124498878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 KIRKWOOD AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455121",
            "telephone_number": "828-754-0101",
            "fax_number": "828-757-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 KIRKWOOD AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455121",
            "telephone_number": "828-754-0101",
            "fax_number": "828-757-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVIS",
        "first_name": "JACQUELYN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011486",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011486",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "145314",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14424377",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "5011486",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124498878",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhovis@amoremsupport.org",
            "affiliation": "N",
            "address_1": "902 Kirkwood Ave NW",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.