Jillian Rauchut, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ15172600 Issued in NJ

Practice address

1076 Route 47 S
Rio Grande, NJ 08242-1608

Phone

(609) 741-6363

NPI assigned

Oct 18, 2024

Last updated

Oct 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cooperative Care Partnership IncGroup PAC ID 8224351606, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cooperative Care Partnership, Inc

  • Community/Behavioral Health Agency
  • Rio Grande, NJ
  • NPI 1477898096
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group of New Jersey PC

  • Mental Health Counselor
  • Hoboken, NJ
  • NPI 1841949328

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Cooperative Care Partnership, Inc.

  • Community/Behavioral Health Agency
  • Rio Grande, NJ
  • NPI 1598124828
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1356162705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N BATON ROUGE AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062407",
            "telephone_number": "267-255-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 ROUTE 47 S",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421608",
            "telephone_number": "609-741-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 N Baton Rouge Ave",
            "address_purpose": "LOCATION",
            "city": "Ventnor City",
            "state": "NJ",
            "postal_code": "084062407",
            "country_code": "US",
            "telephone_number": "267-255-9938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUCHUT",
        "first_name": "JILLIAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15172600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhargavi H. Patel
• Khyati Pravin Patel, D.C.
• Tatyana Patel
• Positive Impact Physical Therapy
• Qpharma Inc (AtlantiCare Urgent Care Rio Grande)
• Regenerative Medicine of South Jersey LLC (Active Spine and Joint Institute)
• Helen Margaret Renyo
• Timothy Joseph Renyo, D
• Robert J Manoli OD and Associates PC
• Kevin Roberts, BA

• Psychiatric/Mental Health Nurse Practitioner in Rio Grande, NJ
• Providers in Rio Grande, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.