Individual provider Active NPI

Jennifer K Hare, CRNP

  • Adult Health Nurse Practitioner
  • Doylestown, PA
National Provider Identifier
1336431402
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP010998 Issued in PA
Practice address
595 W State St
Doylestown, PA 18901-2554
Phone
(215) 345-2100
Fax
(215) 345-2110
NPI assigned
May 9, 2011
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP010998 PA Primary

Addresses

Primary practice location

595 W State St
Doylestown, PA 18901-2554

Mailing address

PO Box 829641
Philadelphia, PA 19182-9641
Phone (267) 893-6800

Other practice location 1

599 W State St Ste 200
Doylestown, PA 18901-2567
Phone (267) 893-6800

Other practice location 2

315 W State St
Doylestown, PA 18901-3525
Phone (215) 345-1900

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
I20130729000637 PA Practitioner - Nurse Practitioner 0547401895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Specialty AssociatesGroup PAC ID 5799295853, 165 clinicians

Practice addresses (Care Compare)

599 W State St
Doylestown, PA 18901-2567
Phone (215) 893-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP010998PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates Current Accepting new patients
Clinical Specialty Associates Current Accepting new patients
Via Affiliates CurrentSince Jul 9, 2023 Accepting new patients
Via Affiliates CurrentSince Jul 9, 2023 Accepting new patients
Clinical Specialty Associates CurrentSince Aug 23, 2025 Accepting new patients
Clinical Specialty Associates CurrentSince Aug 23, 2025 Accepting new patients

Locations

315 W State St
Doylestown, PA 18901
Phone (215) 345-1900

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

599 W State St
Ste 200
Doylestown, PA 18901
Phone (215) 345-6050

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

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 1

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": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1336431402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191829641",
            "telephone_number": "267-893-6800",
            "fax_number": "267-893-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W STATE ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012554",
            "telephone_number": "215-345-2100",
            "fax_number": "215-345-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 W State St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Doylestown",
            "state": "PA",
            "postal_code": "189012567",
            "country_code": "US",
            "telephone_number": "267-893-6800",
            "fax_number": "267-893-6820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 W State St",
            "address_purpose": "LOCATION",
            "city": "Doylestown",
            "state": "PA",
            "postal_code": "189013525",
            "country_code": "US",
            "telephone_number": "215-345-1900",
            "fax_number": "215-345-4579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARE",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP010998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.