Individual provider Active NPI

Jennifer Danks, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1336756899
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5013614 Issued in NC
Practice address
1221 Medical Center Dr
Wilmington, NC 28401-7306
Phone
(910) 239-0300
Fax
(910) 756-4546
NPI assigned
Sep 29, 2020
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5013614 NC Primary

Addresses

Primary practice location

1221 Medical Center Dr
Wilmington, NC 28401-7306

Mailing address

1221 Medical Center Dr
Wilmington, NC 28401-7306
Phone (910) 239-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20201016000818 NC Practitioner - Nurse Practitioner 7517387319 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moving Ahead Counseling ServicesGroup PAC ID 7911369327, 6 clinicians

Practice addresses (Care Compare)

610 Ocean Hwy W
Supply, NC 28462-4048
Phone (910) 253-5885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Psychiatry, P.C. CurrentSince Dec 13, 2025 Accepting new patients
Neuphoria NC PLLC CurrentSince Feb 1, 2026 Accepting new patients
Moving Ahead Counseling Services Psychiatric/Mental Health CurrentSince Nov 18, 2024 Accepting new patients
New Dimension Group, LLC CurrentSince Jun 17, 2024 Accepting new patients

Locations

548 Sandhurst Dr
Fayetteville, NC 28304
Phone (910) 484-3400

416 W Ridge St
Rose Hill, NC 28458
Phone (910) 289-2610

610 Ocean Hwy W
Supply, NC 28462
Phone (910) 253-5885

1221 Medical Center Dr
Wilmington, NC 28401
Phone (910) 239-0300

Organizations & group practices 4

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1336756899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017306",
            "telephone_number": "910-239-0300",
            "fax_number": "910-756-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017306",
            "telephone_number": "910-239-0300",
            "fax_number": "910-756-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANKS",
        "first_name": "JENNIFER",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5013614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.