Active NPI
Jennifer Lea Gregory, MSN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 71011226A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 71011226A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valle Vista, LLC | Current | Accepting new patients | |
| Valle Vista LLC | Current | Accepting new patients | |
| Measured Wellness LLC | Current | Accepting new patients | |
| Holon Health Professional Corp | Current | Accepting new patients | |
| Holon Health Great Lakes, P.C. | Nurse Practitioner | Current | Accepting new patients |
| Maryland Medical Specialists Inc | Current | Accepting new patients | |
| Holon Health Medical Group, P.C. | Current | Accepting new patients | |
| Boris Balson, PC | Current | Accepting new patients | |
| Holon Health, Inc. | Past | 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.
-
- Psychiatry Physician
- Boston, MA
- NPI 1588273320
-
- Psychiatric Hospital
- Greenwood, IN
- NPI 1699722405
-
- Family Medicine Physician
- Glen Allen, VA
- NPI 1194414805
IN, MA, MI, Nurse Practitioner
-
- Addiction Medicine (Family Medicine) Physician
- Branchburg, NJ
- NPI 1811868110
-
- Addiction Medicine (Preventive Medicine) Physician
- Springfield, IL
- NPI 1821971912
-
- Clinic/Center
- Rockville, MD
- NPI 1245907252
-
- Methadone Clinic
- Indianapolis, IN
- NPI 1548036262
-
- Clinical & Laboratory Immunology (Allergy & Immunology) Physician
- Brookline, MA
- NPI 1144490988
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Addiction Medicine (Preventive Medicine) Physician
- Elizabethtown, KY
- NPI 1942902093
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.