Active NPI
Kendra Christine Jarrell, FNP
- Family Nurse Practitioner
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2363556
- Practice address
- 1049 Main St
Springfield, MA 01103-2114 - Phone
- (413) 739-1100
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP-08619 | OH | |
| Primary Care Nurse Practitioner | 363LP2300X | 2363356 | MA | |
| Family Nurse Practitioner | 363LF0000X | 2363556 | MA | Primary |
Addresses
Primary practice location
1049 Main St
Springfield, MA 01103-2114
Mailing address
1049 Main St
Springfield, MA 01103-2114
Phone (413) 739-1100
Other practice location 1
7073 Clyo Rd
Centerville, OH 45459-4816
Phone (937) 435-5857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3138107 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Martha'S Vineyard Hospital Inc
Practice addresses (Care Compare)
1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone 508693041079525
57 Prospect St
Nantucket, MA 02554-2799
Phone (508) 825-8100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08619 | OH | MD | Nutritionist |
| NP-08619 | OH | MD | Family Nurse Practitioner |
| 2363356 | MA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nantucket Cottage Hospital | Current | Accepting new patients | |
| Eagle Butte Indian Health Service Hospital | Current | Accepting new patients | |
| Martha'S Vineyard Hospital | Current | Accepting new patients | |
| Nantucket Physicians Organization | Current | Accepting new patients | |
| Nantucket Cottage Hospital | Current | Accepting new patients | |
| Sutter Bay Hospitals | Current | Accepting new patients | |
| Sutter Bay Hospitals | Current | Accepting new patients | |
| Sutter Bay Hospitals | Current | Accepting new patients |
Locations
5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000
987 Parallel Dr
Ste C
Lakeport, CA 95453
Phone (707) 262-5000
57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200
Interoperability endpoints
- jarrell.kendra.mvh@direct.partners.masshiway.net
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 and National Provider Directory roles.
-
- Rural Acute Care Hospital
- Nantucket, MA
- NPI 1447214622
-
- Orthopaedic Surgery Physician
- Nantucket, MA
- NPI 1568798510
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
TX
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
-
- Obstetrics & Gynecology Physician
- Oak Bluffs, MA
- NPI 1962465500
-
- Rural Health Clinic/Center
- Nantucket, MA
- NPI 1477021608
-
- Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1194171371
-
- Critical Access Hospital
- Lakeport, CA
- NPI 1952634008
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- Critical Access Hospital
- Oak Bluffs, MA
- NPI 1134206386
-
- Rural Acute Care Hospital
- Nantucket, MA
- NPI 1447214622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1174566681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011032114",
"telephone_number": "413-739-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011032114",
"telephone_number": "413-739-1100"
}
],
"practiceLocations": [
{
"address_1": "7073 Clyo Rd",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454594816",
"country_code": "US",
"telephone_number": "937-435-5857",
"fax_number": "937-912-4960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JARRELL",
"first_name": "KENDRA",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2022-12-05",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "NP-08619",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MA",
"license": "2363356",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "2363556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3138107",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.