Individual provider Active NPI

Jacqueline Marie Ramsey Rosenhein, FNP-BC

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1487137089
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26850 Issued in TN
Practice address
2115 Seminole Dr
Johnson City, TN 37604-7084
Phone
(413) 281-0354
Fax
(800) 308-7319
NPI assigned
Sep 10, 2018
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346709 NY
Family Nurse Practitioner 363LF0000X RN211106 MA
Family Nurse Practitioner 363LF0000X 26850 TN Primary

Addresses

Primary practice location

2115 Seminole Dr
Johnson City, TN 37604-7084

Mailing address

2115 Seminole Dr
Johnson City, TN 37604-7084
Phone (413) 281-0354

Other practice location 1

236 5th Ave Fl 4
New York, NY 10001-7953
Phone (310) 849-4465

Other practice location 2

2115 Seminole Dr
Johnson City, TN 37604-7084
Phone (413) 281-0354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TN, NY, VT, WV, OR, VA, MS8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20190611002148 MA Practitioner - Nurse Practitioner 1759614589 Reassigns benefits to 1 organization
I20210108000788 TN Practitioner - Nurse Practitioner 1759614589
I20220210000814 NY Practitioner - Nurse Practitioner 1759614589
I20230130001060 VT Practitioner - Nurse Practitioner 1759614589 Reassigns benefits to 1 organization
I20230202000993 WV Practitioner - Nurse Practitioner 1759614589 Reassigns benefits to 1 organization
I20230206002256 OR Practitioner - Nurse Practitioner 1759614589 Reassigns benefits to 1 organization
I20230706002328 VA Practitioner - Nurse Practitioner 1759614589
I20230707000070 MS Practitioner - Nurse Practitioner 1759614589 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN211106MAMDFamily Nurse Practitioner
346709NYMDFamily Nurse Practitioner
26850TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Faculty Services Inc CurrentSince Jun 6, 2019 Accepting new patients
Openloop Healthcare Partners New Jersey PC Nurse Practitioner CurrentSince Oct 29, 2022 Accepting new patients
Fairview Hospital CurrentSince Jun 6, 2019 Accepting new patients
Mikhail Novikov MD Past Accepting new patients
Ahead North Carolina Medical PC Past Accepting new patients

Locations

175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

505 East St
Pittsfield, MA 01201
Phone (413) 442-6221

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

820 Bear Tavern Rd
Ewing, NJ 08628
Phone (415) 205-1229

Interoperability endpoints

  • Direct secure messaging: jacqueline.ramsey-rosenhein@337577483108356.direct.elationemr.com

Organizations & group practices 6

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1487137089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 SEMINOLE DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047084",
            "telephone_number": "413-281-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 SEMINOLE DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047084",
            "telephone_number": "413-281-0354",
            "fax_number": "800-308-7319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 5th Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100017953",
            "country_code": "US",
            "telephone_number": "310-849-4465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 Seminole Dr",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376047084",
            "country_code": "US",
            "telephone_number": "413-281-0354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMSEY ROSENHEIN",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346709",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN211106",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.