Individual provider Active NPI

Jennifer Hastings Willard, APRN

  • Primary Care Nurse Practitioner
  • Barrington, NH
National Provider Identifier
1235375114
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
060461-23 Issued in NH
Practice address
8 Century Pines Dr
Suite 2
Barrington, NH 03825-3732
Phone
(603) 664-2135
Fax
(603) 664-9128
NPI assigned
Dec 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 060461-23 NH Primary

Addresses

Primary practice location

8 Century Pines Dr
Suite 2
Barrington, NH 03825-3732

Mailing address

789 Central Ave
Dover, NH 03820-2526
Phone (603) 664-2135

Other identifiers 3

IdentifierTypeStateIssuer
3075371MedicaidNH
1235375114MedicaidME
P00709637OtherNHRR MEDICARE

Other names 1

  • Jennifer Hastings Thomas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090428000098 NH Practitioner - Nurse Practitioner 0941358147 Reassigns benefits to 1 organization
I20200930003160 ME Practitioner - Nurse Practitioner 0941358147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wentworth Douglass Physician CorporationGroup PAC ID 5496749848, 429 clinicians

Practice addresses (Care Compare)

31 Colcord St
South Berwick, ME 03908-1004
Phone (207) 384-4949

8 Century Pines Dr
Suite 2
Barrington, NH 03825-3732
Phone (603) 664-2135

Hospital & facility affiliations

  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
060461-23NHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Mar 24, 2009 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Mar 24, 2009 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients

Locations

31 Colcord St
South Berwick, ME 03908
Phone (207) 384-4022

8 Century Pines Dr
Ste 2
Barrington, NH 03825
Phone (603) 664-2135

10 Members Way
Dover, NH 03820
Phone (603) 740-2307

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

10 Members Way
Ste 201
Dover, NH 03820
Phone (603) 205-2823

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

10 Members Way
Ste 200
Dover, NH 03820
Phone (603) 609-6930

67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092

Interoperability endpoints

  • Direct secure messaging: willard.jennifer.wdh@direct.partners.masshiway.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1235375114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-664-2135",
            "fax_number": "603-664-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CENTURY PINES DR",
            "address_2": "SUITE 2",
            "city": "BARRINGTON",
            "state": "NH",
            "postal_code": "038253732",
            "telephone_number": "603-664-2135",
            "fax_number": "603-664-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "JENNIFER",
        "middle_name": "HASTINGS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-26",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NH",
            "license": "060461-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075371",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235375114",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00709637",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "THOMAS",
            "middle_name": "HASTINGS",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Barrington, NH

Sources for this page

Verify at the official NPI Registry.