Individual provider Active NPI

Jenna E Morrill, APRN

  • Family Nurse Practitioner
  • Londonderry, NH
National Provider Identifier
1558701771
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
060009-23 Issued in NH
Practice address
40 Buttrick Rd
Elliot Primary Care Londonderry
Londonderry, NH 03053-3381
Phone
(603) 552-1400
Fax
(603) 552-1499
NPI assigned
Jul 2, 2013
Last updated
Jul 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 060009-23 NH Primary

Addresses

Primary practice location

40 Buttrick Rd
Elliot Primary Care Londonderry
Londonderry, NH 03053-3381

Mailing address

40 Buttrick Rd
Elliot Primary Care Londonderry
Londonderry, NH 03053-3381
Phone (603) 552-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130911000057 NH Practitioner - Nurse Practitioner 9638313711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Physicians NetworkGroup PAC ID 6406743988, 78 clinicians

Practice addresses (Care Compare)

275 Mammoth Rd
Manchester, NH 03109-4133

40 Butrrick Rd
Londonderry, NH 03053-3381
Phone (603) 434-1919

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
060009-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Physicians Network CurrentSince Jul 22, 2013 Accepting new patients

Locations

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

40 Buttrick Rd
Londonderry, NH 03053
Phone (603) 552-1400

40 Buttrick Rd
Ste 105
Londonderry, NH 03053

40 Buttrick Rd
Unit 1
Londonderry, NH 03053

275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1558701771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BUTTRICK RD",
            "address_2": "ELLIOT PRIMARY CARE LONDONDERRY",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533381",
            "telephone_number": "603-552-1400",
            "fax_number": "603-552-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BUTTRICK RD",
            "address_2": "ELLIOT PRIMARY CARE LONDONDERRY",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533381",
            "telephone_number": "603-552-1400",
            "fax_number": "603-552-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRILL",
        "first_name": "JENNA",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "060009-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.