Individual provider Active NPI

Jennifer Marie Nolin, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Templeton, MA
National Provider Identifier
1265290670
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2294678 Issued in MA
Practice address
148 Turner LN
Templeton, MA 01468-1565
Phone
(978) 615-1513
Fax
(978) 451-9356
NPI assigned
Mar 11, 2024
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2294678 MA Primary
Registered Nurse 163W00000X RN2294678 MA

Addresses

Primary practice location

148 Turner LN
Templeton, MA 01468-1565

Mailing address

148 Turner LN
Templeton, MA 01468-1565
Phone (978) 613-1513

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
I20251210000681 MA Practitioner - Nurse Practitioner 6002300845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical and Support Options, IncGroup PAC ID 6608835350, 103 clinicians

Practice addresses (Care Compare)

1 Arch PL
Greenfield, MA 01301-2457
Phone (413) 774-1000

205 School St
Suite 301
Gardner, MA 01440-2781
Phone (978) 632-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2294678MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Behavioral Health & Wellness, PLLC Current Accepting new patients
Clinical & Support Options, Inc CurrentSince Oct 22, 2025 Accepting new patients

Locations

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

Organizations & group practices 2

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1265290670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 TURNER LN",
            "city": "TEMPLETON",
            "state": "MA",
            "postal_code": "014681565",
            "telephone_number": "978-613-1513",
            "fax_number": "978-451-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 TURNER LN",
            "city": "TEMPLETON",
            "state": "MA",
            "postal_code": "014681565",
            "telephone_number": "978-615-1513",
            "fax_number": "978-451-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLIN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2294678",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2294678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, MA

Sources for this page

Verify at the official NPI Registry.