Individual provider Active NPI

Jennifer Noelle Flynn, FNP-C

  • Family Nurse Practitioner
  • West Grove, PA
National Provider Identifier
1295551919
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030649 Issued in PA
Practice address
390 Vineyard Way Ste 501
West Grove, PA 19390-8836
Phone
(610) 806-5450
NPI assigned
Nov 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN742405 PA
Family Nurse Practitioner 363LF0000X LG-0012979 DE
Family Nurse Practitioner 363LF0000X SP030649 PA Primary

Addresses

Primary practice location

390 Vineyard Way Ste 501
West Grove, PA 19390-8836

Mailing address

260 Bethel Rd
Oxford, PA 19363-1164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250221000991 PA Practitioner - Nurse Practitioner 4688194533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians

Practice addresses (Care Compare)

390 Vineyard Way
Suite 501
West Grove, PA 19390-8836
Phone (610) 869-0953

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN742405PAMDRegistered Nurse
LG-0012979DEMDFamily Nurse Practitioner
SP030649PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Feb 19, 2025 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Apr 9, 2025 Accepting new patients
Christiana Care Pennsylvania Inc Current Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Apr 9, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Feb 19, 2025 Accepting new patients
Christiana Care Pennsylvania Inc Past Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients

Locations

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

390 Vineyard Way
Ste 501
West Grove, PA 19390
Phone (610) 869-0953

900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088

Organizations & group practices 8

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.

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": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1295551919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BETHEL RD",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 VINEYARD WAY STE 501",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193908836",
            "telephone_number": "610-806-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "JENNIFER",
        "middle_name": "NOELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN742405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012979",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Grove, PA

Sources for this page

Verify at the official NPI Registry.