Jennifer Gail Ross, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2362912 Issued in MA

Practice address

72 Jacques Ave
Worcester, MA 01610-2476

Phone

(508) 860-1000

NPI assigned

Jun 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, MA, VA3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Koann Therapeutic Services IncGroup PAC ID 7113302282, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uva Health Culpeper Medical Center Hospital, Culpeper, VA, CCN 490019

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22832/brand/1/csg/1/fhir/r4

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.

• Koann Therapeutic Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
  • NPI 1639843303

  MA

  Medicare reassignment Care Compare group NPD
• Community Healthlink Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Worcester, MA
  • NPI 1649293028
  Medicare reassignment NPD
• Heartland Family Medical

  • Family Nurse Practitioner
  • Holly Springs, MS
  • NPI 1376188391

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Community Healthlink, Inc.

  • Community Health Clinic/Center
  • Worcester, MA
  • NPI 1235387879
  NPD
• Hernando Family Medical Clinic, LLC

  • Family Nurse Practitioner
  • Senatobia, MS
  • NPI 1740350628
  NPD
• Rappahannock Rapidan CSB

  • Early Intervention Provider Agency
  • Culpeper, VA
  • NPI 1750504833
  NPD
• Rappahannock-Rapidan Community Services Board

  • Community/Behavioral Health Agency
  • Warrenton, VA
  • NPI 1568424364
  NPD
• Addiction Campuses of Mississippi, LLC

  • Substance Abuse Rehabilitation Facility
  • Southaven, MS
  • NPI 1356703524
  NPD (past)
• Addiction Campuses Professional Services of Mississippi, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Southaven, MS
  • NPI 1659990075
  NPD (past)
• Koann Therapeutic Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
  • NPI 1629861224
  NPD (past)

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

• Uva Culpeper Medical Center

  • General Acute Care Hospital
  • Culpeper, VA
  • NPI 1669538047
  Care Compare affiliation

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1164083747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W VAN DORN AVE",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386352902",
            "telephone_number": "662-274-3212",
            "fax_number": "662-274-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 JACQUES AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102476",
            "telephone_number": "508-860-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Stateline Rd W",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386711610",
            "country_code": "US",
            "telephone_number": "662-510-5387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "845 N Main St Ste L1B",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029045775",
            "country_code": "US",
            "telephone_number": "401-648-7172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JENNIFER",
        "middle_name": "GAIL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "903385",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2362912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Ann Rosiello, MA
• Richard A Rosiello, MD
• Alan Rosmarin, M.D.
• Sarah Rososhansky, M.D.
• Anna Ross, DMD
• Katie Carlisle Ross
• Rebecca Ross, BA
• Christina T Rossi, MSW
• Michael F Rossik, RPH
• Jennifer Rossman

• Psychiatric/Mental Health Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.