Individual provider Active NPI

Jennifer R Owens, AGNP-C

  • Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1568820595
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
086867-23 Issued in NH
Practice address
22 Hunt St
Nashua, NH 03060-4426
Phone
(781) 867-2050
NPI assigned
Feb 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2262174 MA
Registered Nurse 163W00000X RN2262174 MA
Nurse Practitioner 363L00000X 086867-23 NH Primary

Addresses

Primary practice location

22 Hunt St
Nashua, NH 03060-4426

Mailing address

22 Hunt St
Nashua, NH 03060-4426
Phone (781) 867-2050

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
I20230803000755 NH Practitioner - Nurse Practitioner 1456631977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Healthcare LLCGroup PAC ID 8224361191, 72 clinicians

Practice addresses (Care Compare)

10 White Oak Dr
Exeter, NH 03833-5318
Phone (603) 658-3073

15 Riverwoods Dr
Exeter, NH 03833-5310
Phone (603) 742-4700

22 Tuck Rd
Hampton, NH 03842-1225
Phone (781) 867-2050

5 Timber LN
Exeter, NH 03833-5331
Phone (603) 742-4700

7 Riverwoods Dr
Exeter, NH 03833-4374
Phone (603) 742-4700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2262174MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Healthcare LLC CurrentSince Jul 20, 2023 Accepting new patients

Locations

22 Tuck Rd
Hampton, NH 03842
Phone (603) 926-4551

22 Hunt St
Nashua, NH 03060
Phone (603) 889-5450

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": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1568820595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HUNT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030604426",
            "telephone_number": "781-867-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HUNT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030604426",
            "telephone_number": "781-867-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2262174",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2262174",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "086867-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.