Individual provider Active NPI

Jennifer Lea Gregory, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1679148472
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71011226A Issued in IN
Practice address
675 Justice Way
Room C0049
Indianapolis, IN 46203
Phone
(877) 465-6650
Fax
(804) 294-2775
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71011226A IN Primary

Addresses

Primary practice location

675 Justice Way
Room C0049
Indianapolis, IN 46203

Mailing address

898 E Main St
Greenwood, IN 46143-1407

Other practice location 1

898 E Main St
Greenwood, IN 46143-1407
Phone (800) 447-1348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MD, VA, IL, MA, MI, NJ7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20211007000504 IN Practitioner - Nurse Practitioner 4587062492 Reassigns benefits to 2 organizations
I20220830004598 MD Practitioner - Nurse Practitioner 4587062492 Reassigns benefits to 1 organization
I20241231000038 VA Practitioner - Nurse Practitioner 4587062492 Reassigns benefits to 1 organization
I20250904004731 IL Practitioner - Nurse Practitioner 4587062492 Reassigns benefits to 1 organization
I20250905000742 MA Practitioner - Nurse Practitioner 4587062492 Reassigns benefits to 2 organizations
I20251119001692 MI Practitioner - Nurse Practitioner 4587062492 Reassigns benefits to 1 organization
I20251222003858 NJ Practitioner - Nurse Practitioner 4587062492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Measured Wellness LLCGroup PAC ID 4082029533, 5 clinicians

Practice addresses (Care Compare)

1180 Beacon St
Suite 6a
Brookline, MA 02446-3806
Phone (617) 804-0260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71011226AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valle Vista, LLC CurrentSince Jul 8, 2021 Accepting new patients
Valle Vista LLC CurrentSince Jul 8, 2021 Accepting new patients
Measured Wellness LLC CurrentSince Aug 26, 2025 Accepting new patients
Holon Health Professional Corp CurrentSince Aug 1, 2025 Accepting new patients
Holon Health Great Lakes, P.C. Nurse Practitioner CurrentSince Jul 22, 2024 Accepting new patients
Maryland Medical Specialists Inc CurrentSince Jul 1, 2022 Accepting new patients
Holon Health Medical Group, P.C. CurrentSince Nov 1, 2025 Accepting new patients
Boris Balson, PC CurrentSince Aug 26, 2025 Accepting new patients
Holon Health, Inc. PastSince Jul 22, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2501 Chatham Rd
Ste N
Springfield, IL 62704
Phone (773) 250-7404

898 E Main St
Greenwood, IN 46143
Phone (317) 887-1348

675 Justice Way
Indianapolis, IN 46203
Phone (317) 327-1700

675 Justice Way
Rm C49
Indianapolis, IN 46203
Phone (219) 798-3361

1180 Beacon St
Ste 6A
Brookline, MA 02446
Phone (617) 804-0260

313 Washington St
Ste 310
Newton, MA 02458

145 W Ostend St
Ste 600
Baltimore, MD 21230
Phone (240) 542-8509

1800 N Charles St
Ste 208
Baltimore, MD 21201
Phone (410) 234-2727

133 Rollins Ave
Ste 3
Rockville, MD 20852
Phone (202) 935-1033

12555 Grand River Ave
Ste 100
Detroit, MI 48204

971 US Highway 202 N
Ste N
Branchburg, NJ 08876
Phone (609) 954-0120

12077 Gayton Rd
Richmond, VA 23238
Phone (804) 359-5851

3540 Pump Rd
Richmond, VA 23233
Phone (804) 404-6270

Organizations & group practices 10

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1679148472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 E MAIN ST",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 JUSTICE WAY",
            "address_2": "ROOM C0049",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46203",
            "telephone_number": "877-465-6650",
            "fax_number": "804-294-2775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "898 E Main St",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461431407",
            "country_code": "US",
            "telephone_number": "800-447-1348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "JENNIFER",
        "middle_name": "LEA",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71011226A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.