Active NPI
Jennifer A. Stanhope, NP
- Gerontology Nurse Practitioner
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- RN2279896
- Practice address
- 630 Plantation St
Worcester, MA 01605-2038 - Phone
- (508) 852-0600
- Fax
- (508) 853-7149
- NPI assigned
- Jul 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | RN2279896 | MA | Primary |
Addresses
Primary practice location
630 Plantation St
Worcester, MA 01605-2038
Mailing address
630 Plantation St
Wot 12TH FL
Worcester, MA 01605-2038
Phone (508) 368-5532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
67 Millbrook St
Suite 406a
Worcester, MA 01606-2845
Phone (413) 512-1529
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.15 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 80.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2279896 | MA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integral Health Partners LLC | Current | Accepting new patients | |
| Worcester Internal Medicine, Inc. | Current | Accepting new patients | |
| Reliant Medical Group, Inc | Past | Accepting new patients |
Locations
67 Millbrook St
Ste 406A
Worcester, MA 01606
Phone (508) 283-4513
416 Belmont St
Worcester, MA 01604
Phone (508) 756-1808
416 Belmont St
Ste 1
Worcester, MA 01604
Phone (508) 756-6609
67 Millbrook St
Ste 406B
Worcester, MA 01606
Phone (413) 512-1529
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IGFCDD
- jstanhope@integralhealthpartners.kareodirect.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Holden Rehabilitation and Nursing Center | Skilled nursing facility | Adp of the SNF | Dec 17, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437177600000",
"number": "1376927400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 PLANTATION ST",
"address_2": "WOT 12TH FL",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052038",
"telephone_number": "508-368-5532",
"fax_number": "508-853-7149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 PLANTATION ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052038",
"telephone_number": "508-852-0600",
"fax_number": "508-853-7149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANHOPE",
"first_name": "JENNIFER",
"middle_name": "A.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-18",
"last_updated": "2015-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "RN2279896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.