Individual provider Active NPI

Denise Marie Kelly-Jones, RN, MS, CCRN, NP-C

  • Acute Care Nurse Practitioner
  • Hackettstown, NJ
National Provider Identifier
1295996015
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
N30093700 Issued in NJ
Practice address
5 Hastings Square Mall
Hackettstown, NJ 07840-4227
Phone
(908) 979-0050
Fax
(908) 979-0044
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X N30093700 NJ Primary
Adult Health Nurse Practitioner 363LA2200X 26NN10093700 NJ

Addresses

Primary practice location

5 Hastings Square Mall
Hackettstown, NJ 07840-4227

Mailing address

5 Hastings Square Mall
Hackettstown, NJ 07840-4227
Phone (908) 979-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20051205000019 NJ Practitioner - Nurse Practitioner 4587684634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Partners LLCGroup PAC ID 2860665809, 74 clinicians

Practice addresses (Care Compare)

475 S St
Morristown, NJ 07960-6459
Phone (973) 971-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
N30093700NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, LLC Current Accepting new patients
Primary Care Partners, LLC CurrentSince Feb 15, 2014 Accepting new patients
Primary Care Partners, LLC Past Accepting new patients
Northern Valley Anesthesiology, P.a. Past Accepting new patients
Englewood Medical Associates, Inc Past Accepting new patients
Primary Care Partners LLC Past Accepting new patients

Locations

5 Hastings SQ Mall
Hackettstown, NJ 07840
Phone (973) 292-1020

475 South St
Morristown, NJ 07960
Phone (800) 247-9580

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

328A Sparta Ave
Sparta, NJ 07871
Phone (973) 729-2197

Organizations & group practices 6

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1295996015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HASTINGS SQUARE MALL",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404227",
            "telephone_number": "908-979-0050",
            "fax_number": "908-979-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HASTINGS SQUARE MALL",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404227",
            "telephone_number": "908-979-0050",
            "fax_number": "908-979-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY-JONES",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "credential": "RN, MS, CCRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "N30093700",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN10093700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.