Jennifer Anderson, ADULT PMHNP-BC

Key facts

NPI: 1326443003
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: AP4732 AZBN (AZ)
Practice address: 6262 E Brown Rd Unit 43
Mesa, AZ 85205-4846
Phone: (480) 766-1894
NPI assigned: Oct 24, 2014
Sex: Female
Sole proprietor: Yes

Organizations & group practices 3

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.

Partners in Recovery, LLC Adult Mental Health Clinic/Center · Phoenix, AZ · NPI 1922232925

Medicare reassignment Care Compare group NPD AZ
Partners in Recovery, LLC Adult Mental Health Clinic/Center · Gilbert, AZ · NPI 1235363235

NPD
Partners in Recovery, LLC Clinic/Center · Phoenix, AZ · NPI 1306698436

NPD

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2011
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Partners in Recovery LLC (32 clinicians)

Practice addresses (Care Compare)

5222 E Baseline Rd
Suite 101
Gilbert, AZ 85234-2963
Phone 48096938002335

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AZ
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20150403000211	AZ	Practitioner - Nurse Practitioner	3072830967	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
AP4732 AZBN	AZ	MD	Psychiatric/Mental Health Nurse Practitioner

Practice roles

Organization	Status	New patients
Partners in Recovery, LLC	Current since Dec 1, 2018	Accepting new patients
Partners in Recovery, LLC	Current	Accepting new patients
Partners in Recovery, LLC	Current since Dec 1, 2018	Accepting new patients

Locations

5222 E Baseline Rd
Ste 101
Gilbert, AZ 85234
Phone (480) 659-0202

924 N Country Club Dr
Mesa, AZ 85201
Phone (480) 696-3800

10240 N 31st Ave
Ste 200
Phoenix, AZ 85051
Phone (602) 395-1700

Interoperability endpoints

Direct secure messaging: jennifer.anderson@direct.azpir.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	AP4732 AZBN	AZ	Yes

Addresses

Primary practice location

6262 E Brown Rd Unit 43
Mesa, AZ 85205-4846

Mailing address

6262 E Brown Rd Unit 43
Mesa, AZ 85205-4846
Phone (480) 766-1894

Other providers in Mesa, AZ

All providers in Mesa, AZ · Psychiatric/Mental Health Nurse Practitioner in Arizona

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.