Active NPI
Jadell Hovander, APRN
- Nurse Practitioner
- Riverton, WY
National Provider Identifier
1184381287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 48933
- Practice address
- 716 College View Dr Ste a
Riverton, WY 82501-2282 - Phone
- (307) 840-0717
- NPI assigned
- Nov 23, 2021
- Last updated
- Nov 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 48933 | WY | Primary |
Addresses
Primary practice location
716 College View Dr Ste a
Riverton, WY 82501-2282
Mailing address
PO Box 6066
Riverton, WY 82501-0399
Phone (307) 840-0717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Dec 17, 2021 through Dec 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48933 | WY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haven Direct Health Systems LLC | Current | Accepting new patients |
Locations
716 College View Dr
Ste A
Riverton, WY 82501
Phone (307) 840-0717
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1184381287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6066",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825010399",
"telephone_number": "307-840-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 COLLEGE VIEW DR STE A",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825012282",
"telephone_number": "307-840-0717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOVANDER",
"first_name": "JADELL",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-23",
"last_updated": "2021-11-23",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WY",
"license": "48933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.