Active NPI
Jennifer Mann, NP
- Family Nurse Practitioner
- Hudson, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 081555-23
- Practice address
- 300 Derry Rd
Hudson, NH 03051-3023 - Phone
- (603) 886-3979
- Fax
- (603) 886-2898
- NPI assigned
- Feb 2, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN282048 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | RN282048 | MA | |
| Family Nurse Practitioner | 363LF0000X | 081555-23 | NH | Primary |
Addresses
Primary practice location
300 Derry Rd
Hudson, NH 03051-3023
Mailing address
PO Box 3677
Nashua, NH 03061-3677
Phone (603) 577-7900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110132387A | Medicaid | MA | |
| S400461117 | Other | MA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Derry Rd
Hudson, NH 03051-3023
Phone (603) 886-3979
Hospital & facility affiliations
- Home Health & Hospice Care
- Amedisys Home Health
- Southern NH Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081555-23 | NH | MD | Family Nurse Practitioner |
| RN282048 | MA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heywood Medical Group Inc. | Nurse Practitioner | Current | Accepting new patients |
| Foundation Medical Partners Inc. | Current | Accepting new patients | |
| Foundation Medical Partners Inc | Current | Accepting new patients | |
| Athol Memorial Hospital Incorporated | Nurse Practitioner | Current | Accepting new patients |
Locations
2033 Main St
Athol, MA 01331
Phone (978) 249-1295
242 Green St
Gardner, MA 01440
Phone (978) 258-4734
250 Green St
Gardner, MA 01440
Phone (978) 630-5050
266 Main St
Gardner, MA 01440
Phone (978) 630-5030
300 Derry Rd
Hudson, NH 03051
Phone (603) 579-5472
10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600
22 Cotton Rd
Nashua, NH 03063
Phone (603) 899-6147
Interoperability endpoints
- jmann141736@direct.solutionhealth.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Nashua, NH
- NPI 1033162037
-
- Critical Access Hospital
- Athol, MA
- NPI 1336120047
Nurse Practitioner
-
- Durable Medical Equipment & Medical Supplies
- Amherst, NH
- NPI 1679921472
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1245447994
-
- Home Health Agency
- Portsmouth, NH
- NPI 1326230251
-
- Home Health Agency
- Merrimack, NH
- NPI 1437151651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1467990085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3677",
"city": "NASHUA",
"state": "NH",
"postal_code": "030613677",
"telephone_number": "603-577-7900",
"fax_number": "603-577-7972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 DERRY RD",
"city": "HUDSON",
"state": "NH",
"postal_code": "030513023",
"telephone_number": "603-886-3979",
"fax_number": "603-886-2898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "JENNIFER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-02",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN282048",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "RN282048",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "081555-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110132387A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "S400461117",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.