Individual provider Active NPI

Jennifer Dunn, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Summersville, WV
National Provider Identifier
1407550015
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
115539 Issued in WV
Practice address
1073 Arbuckle Rd
Summersville, WV 26651-1745
Phone
(304) 400-2894
NPI assigned
Mar 28, 2023
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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 115539 WV Primary

Addresses

Primary practice location

1073 Arbuckle Rd
Summersville, WV 26651-1745

Mailing address

1073 Arbuckle Rd
Summersville, WV 26651-1745
Phone (304) 400-2894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240222000410 WV Practitioner - Nurse Practitioner 1951745595 Reassigns benefits to 2 organizations
I20260123001710 OH Practitioner - Nurse Practitioner 1951745595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Joseph Recovery Center, LLCGroup PAC ID 0042548000, 12 clinicians

Practice addresses (Care Compare)

1824 Murdoch Ave
BLDG C
Parkersburg, WV 26101-3230
Phone (304) 916-1881

2146 Southgate Pkwy
Suite 5
Cambridge, OH 43725-3096
Phone (740) 370-6404

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Recovery Center, LLC CurrentSince Aug 20, 2025 Accepting new patients
Grace Medical Group, LLC CurrentSince Mar 6, 2023 Accepting new patients

Locations

2146 Southgate Pkwy
Ste 5
Cambridge, OH 43725
Phone (740) 370-6404

1824 Murdoch Ave
Bldg C
Parkersburg, WV 26101
Phone (304) 885-7152

1073 Arbuckle Rd
Summersville, WV 26651
Phone (304) 244-1453

Organizations & group practices 2

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": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1407550015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 ARBUCKLE RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511745",
            "telephone_number": "304-400-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 ARBUCKLE RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511745",
            "telephone_number": "304-400-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "115539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

Verify at the official NPI Registry.