Individual provider Active NPI

Jan Lorenz, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rollinsford, NH
National Provider Identifier
1619967569
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2005000649 Issued in TX
Practice address
108 Woods Run
Rollinsford, NH 03869-0386
Phone
(903) 780-2926
NPI assigned
Oct 24, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X CNP171177 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2005000649 TX Primary

Addresses

Primary practice location

108 Woods Run
Rollinsford, NH 03869-0386

Mailing address

108 Woods Run
Rollinsford, NH 03869
Phone (562) 296-2959

Other identifiers 1

IdentifierTypeStateIssuer
116795906MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20180322002656 ME Practitioner - Nurse Practitioner 8325006067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP171177MEMDPsychiatric/Mental Health Registered Nurse
2005000649TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital CurrentSince Mar 1, 2018 Accepting new patients
East Texas Medical Center Healthcare Associates Past Accepting new patients
Andrews Center - Elliott St Past Accepting new patients

Locations

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

32 York St
York, ME 03909
Phone (207) 351-3960

Organizations & group practices 3

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1619967569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WOODS RUN",
            "city": "ROLLINSFORD",
            "state": "NH",
            "postal_code": "03869",
            "telephone_number": "562-296-2959",
            "fax_number": "903-213-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WOODS RUN",
            "city": "ROLLINSFORD",
            "state": "NH",
            "postal_code": "038690386",
            "telephone_number": "903-780-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "JAN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP171177",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "2005000649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116795906",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rollinsford, NH

Sources for this page

Verify at the official NPI Registry.