Jennifer Lynn Tangeman, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5007713 Issued in NC

Practice address

3801 Barrett Dr
Raleigh, NC 27609-7224

Phone

(919) 870-8409

Fax

(877) 622-8953

NPI assigned

Jun 24, 2015

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 NC

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mona R Gupta DO IncorporatedGroup PAC ID 8628386174, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Mona R Gupta, DO Incorporated

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1205134731
  Medicare reassignment Care Compare group
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment NPD
• Mona R Gupta, DO Incorporated

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Raleigh, NC
  • NPI 1225414352
  NPD

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1689056806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097224",
            "telephone_number": "919-870-8409",
            "fax_number": "877-622-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097224",
            "telephone_number": "919-870-8409",
            "fax_number": "877-622-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGEMAN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalil Saliba Tanas, M.D.
• Annalise Renae Tanberg
• Tang Traditional Acupuncture and Chinese Medicine LLC
• Zhengdong Tang, L.AC
• Vijaya Venkata Tangella, MA
• D'Nicole M. Tangen, LCSW
• Katherine Tanji, PT
• Shruti Chudasama Tannan, MD
• Tanner Dice, DMD, PA
• Blair Anthony Tanner, P.T.

• Family Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.