Jenna Connor

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

2022029248 Issued in NJ

Practice address

1385 Chews Landing Rd
Laurel Springs, NJ 08021-2760

Phone

(800) 427-1902

NPI assigned

Jun 2, 2023

Last updated

Jun 2, 2023By the provider in NPPES

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 NJ, PA2 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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulse Vascular LLCGroup PAC ID 7618219361, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pulse Vascular, LLC

  • Vascular & Interventional Radiology Physician
  • Vineland, NJ
  • NPI 1255899704
  Medicare reassignment Care Compare group NPD
• Heartland Hospice Services LLC

  dba ProMedica Hospice (Northfield)

  • Community Based Hospice Care Agency
  • Laurel Springs, NJ
  • NPI 1396798112
  Medicare reassignment NPD
• University of Penn - Medical Group

  • Gastroenterology Physician
  • Philadelphia, PA
  • NPI 1477660173
  Medicare reassignment NPD
• University of Penn-Medical Group

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1235527342
  Medicare reassignment
• Heartland Hospice Services, LLC

  dba ProMedica Hospice (Woodbury)

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Laurel Springs, NJ
  • NPI 1760125595
  NPD
• HCR Manorcare Medical Services of Florida LLC

  dba Heartland Care Partners

  • Nurse Practitioner
  • Toledo, OH
  • NPI 1386750420
  NPD
• Heartland Hospice Services, LLC

  dba ProMedica Hospice (Beltsville)

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Beltsville, MD
  • NPI 1902545270
  NPD
• University of Penn-Medical Group

  • Critical Care Medicine (Anesthesiology) Physician
  • Philadelphia, PA
  • NPI 1235527359
  NPD
• University of Penn-Medical Group

  • Surgical Oncology Physician
  • Philadelphia, PA
  • NPI 1871981985
  NPD

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1639863772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "fax_number": "800-564-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 CHEWS LANDING RD",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212760",
            "telephone_number": "800-427-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "2022029248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Casey, LAC
• Meeta T Chauhan
• Chews Landing Shoprite, Inc.
• Katherine F Chiumento, SLP
• Marisa Cinalli, MSN,RN,APN-C
• Joseph J. Conti, D.O.
• Kristin Curi
• Dennis Ribatsky, D.D.S., P.a.
• Nicholas Desimone
• Luckym Van Dinh, DDS

• Gerontology Nurse Practitioner in Laurel Springs, NJ
• Providers in Laurel Springs, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.