Individual provider Active NPI

Jennifer Nonnemacher

  • Registered Nurse
  • Willow Street, PA
National Provider Identifier
1366317612
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN610023 Issued in PA
Practice address
600 Millwood Rd
Willow Street, PA 17584-9515
Phone
(717) 925-2380
NPI assigned
Oct 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN610023 PA Primary

Addresses

Primary practice location

600 Millwood Rd
Willow Street, PA 17584-9515

Mailing address

600 Millwood Rd
Willow Street, PA 17584-9515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN610023PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Services Inc. CurrentSince Oct 12, 2025 Accepting new patients

Locations

600 Millwood Rd
Willow Street, PA 17584
Phone (717) 925-2380

Organizations & group practices 1

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": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1366317612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MILLWOOD RD",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MILLWOOD RD",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849515",
            "telephone_number": "717-925-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NONNEMACHER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN610023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Street, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.