Individual provider Active NPI

Jennifer Lynn Ritz, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1609544907
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71011580A Issued in IN
Practice address
3400 Lincoln Ave
Evansville, IN 47714-0146
Phone
(812) 469-6800
Fax
(812) 469-6868
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28234289A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71011580A IN Primary

Addresses

Primary practice location

3400 Lincoln Ave
Evansville, IN 47714-0146

Mailing address

3400 Lincoln Ave
Evansville, IN 47714-0146
Phone (812) 469-6800

Other names 1

  • Miss Jennifer Lynn Ritz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210924001819 IN Practitioner - Nurse Practitioner 4486051018 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brentwood Meadows Physician Group LLCGroup PAC ID 9830412956, 10 clinicians

Practice addresses (Care Compare)

4488 Roslin Rd
Newburgh, IN 47630-8590
Phone (812) 858-7200

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28234289AINMDNurse Practitioner
71011580AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital Inc Nurse Practitioner CurrentSince Sep 20, 2021 Accepting new patients
Brentwood Meadows Physician Group LLC Psychiatric/Mental Health CurrentSince Aug 15, 2024 Accepting new patients
Deaconess Hospital, Inc Nurse Practitioner Current Accepting new patients
State of Indiana, Auditor of State CurrentSince Apr 1, 2024 Accepting new patients
State of Indiana Auditor of State CurrentSince Apr 1, 2024 Accepting new patients
Deaconess Hospital, Inc Nurse Practitioner CurrentSince Sep 20, 2021 Accepting new patients
State of Indiana, Auditor of State Current Accepting new patients

Locations

7200 E Indiana St
Evansville, IN 47715
Phone (812) 476-7200

3400 Lincoln Ave
Evansville, IN 47714
Phone (812) 469-6800

445 N Cross Pointe Blvd
Evansville, IN 47715
Phone (812) 402-2003

4488 Roslin Rd
Newburgh, IN 47630
Phone (812) 710-4038

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1609544907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LINCOLN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140146",
            "telephone_number": "812-469-6800",
            "fax_number": "812-469-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LINCOLN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140146",
            "telephone_number": "812-469-6800",
            "fax_number": "812-469-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITZ",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28234289A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71011580A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RITZ",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.