Jessica Rivet
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Effingham, NH
NPI 1194397398 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1194397398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 064890-21 (NH)
- Practice address
- 244 High Watch Rd
Effingham, NH 03882-8336 - Phone
- (866) 652-8889
- NPI assigned
- Jul 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- New England Psychiatry, PC
Practice addresses (Care Compare)
100 Merrimack St
Lowell, MA 01852-1708
Phone (603) 600-8513
69 Technology Way
Unit 3E9
Nashua, NH 03060-3245
Phone 6036008513101
69 Technology Way Unit
3E9
Nashua, NH 03060-3245
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NH, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240812000453 | NH | Practitioner - Nurse Practitioner | 5395283261 | Reassigns benefits to 1 organization |
| I20251021001718 | MA | Practitioner - Nurse Practitioner | 5395283261 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064890-21 | NH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revival Behavioral Health Services | Psychiatric/Mental Health | Current |
Accepting new patients |
| New England Psychiatry, PC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389
100 Merrimack St
#3013C
Lowell, MA 01852
Phone (603) 600-8513
69 Technology Way
Ste 4E9
Nashua, NH 03060
Phone (603) 600-8513
69 Technology Way
Unit 3E9
Nashua, NH 03060
Phone (603) 600-8513
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 064890-21 | NH | Yes |
Addresses
Primary practice location
244 High Watch Rd
Effingham, NH 03882-8336
Mailing address
235 Africa Rd
Alton, NH 03809-5105
Phone (603) 716-5178
Other providers in Effingham, NH
- Pam McGovern
- Michael P Mozzoni
- Daniel Thomas Murray
- Jim Nixon
- Heidi M Ritter
- James Edward Taylor
- Town of Effingham
- Kelly Lane Whitman
All providers in Effingham, NH · Psychiatric/Mental Health Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.