Individual provider Active NPI

Jennifer Limongiello, PHD, FNP, PMHNP

  • Family Nurse Practitioner
  • Amherst, NH
National Provider Identifier
1255393658
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
186663 Issued in MA
Practice address
5 Northern Blvd Ste 14
Amherst, NH 03031-2325
Phone
(603) 670-6593
Fax
(800) 967-5145
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 052833-23-03 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18663 MA
Family Nurse Practitioner 363LF0000X 186663 MA Primary

Addresses

Primary practice location

5 Northern Blvd Ste 14
Amherst, NH 03031-2325

Mailing address

5 Northern Blvd Ste 14
Amherst, NH 03031-2325
Phone (603) 670-6593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031112000168 MA Practitioner - Nurse Practitioner 1850204132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
186663MAMDFamily Nurse Practitioner
18663MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Nurse Practitioner Current Accepting new patients
The NP Edge, LLC Nurse Practitioner Current Accepting new patients
Atrius Health, Inc. Nurse Practitioner CurrentSince Dec 30, 2012 Accepting new patients
Ipc Hospitalists of New England, P.C. Nurse Practitioner Past Accepting new patients

Locations

77 Herrick St
Ste 101
Beverly, MA 01915
Phone (978) 232-7115

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

2 Essex Dr
Peabody, MA 01960
Phone (978) 532-6111

5 Northern Blvd
Ste 14
Amherst, NH 03031
Phone (603) 670-6593

84 W Broadway
Ste 200
Derry, NH 03038
Phone (508) 484-3034

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1255393658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NORTHERN BLVD STE 14",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312325",
            "telephone_number": "603-670-6593",
            "fax_number": "800-967-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 NORTHERN BLVD STE 14",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312325",
            "telephone_number": "603-670-6593",
            "fax_number": "800-967-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMONGIELLO",
        "first_name": "JENNIFER",
        "credential": "PHD, FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "052833-23-03",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "18663",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "186663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NH

Sources for this page

Verify at the official NPI Registry.