Jennifer Lynn Godek, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

065403-23 Issued in NH

Practice address

15 Tsienneto Rd Ste 200
Derry, NH 03038-1559

Phone

(603) 552-3309

Fax

(603) 965-4177

NPI assigned

Dec 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, VT2 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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Diabetes and Lifestyle Management LLCGroup PAC ID 9638488927, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elliot Hospital Hospital, Manchester, NH, CCN 300012

Merit-based Incentive Payment System (MIPS)

Final score

44.99 of 100Reported as group

Quality

41.52

Improvement activities

0

Cost

82

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Diabetes and Lifestyle Management, LLC

  • Family Nurse Practitioner
  • Derry, NH
  • NPI 1649649021

  VT

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Elliot Hospital of the City of Manchester

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1902996028
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1548929235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TSIENNETO RD STE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381559",
            "telephone_number": "603-552-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TSIENNETO RD STE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381559",
            "telephone_number": "603-552-3309",
            "fax_number": "603-965-4177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Belmont Ave Rm G104",
            "address_purpose": "LOCATION",
            "city": "Brattleboro",
            "state": "VT",
            "postal_code": "053017601",
            "country_code": "US",
            "telephone_number": "603-552-3309",
            "fax_number": "603-965-4177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 Brown St Ste 304C",
            "address_purpose": "LOCATION",
            "city": "Haverhill",
            "state": "MA",
            "postal_code": "018306790",
            "country_code": "US",
            "telephone_number": "603-552-3309",
            "fax_number": "603-965-4177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODEK",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "065403-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Getman, PMHNP
• Kathryn Gibbs, M.S. CCC-SLP
• Emily Gifford
• Cindy Beth Gilks
• Corey Gittleman, MD
• Viraj Milind Godsay, PHARM D
• Patrick John Golden, MSW
• Judith Goldsmith
• Virginia Gonzalez Gilman
• Katherine Gordon

• Nurse Practitioner in Derry, NH
• Providers in Derry, NH by specialty
• Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.

Verify at the official NPI Registry.