NPIMap

Individual provider Active NPI

Jennifer P Hauser, AGACNP-BC

  • Adult Health Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1689117780
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0001210613 Issued in VA
Practice address
5231 Hickory Park Dr Ste D
Glen Allen, VA 23059-2619
Phone
(804) 334-3802
Fax
(804) 302-6501
NPI assigned
Nov 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0001210613 VA
Adult Health Nurse Practitioner 363LA2200X 0001210613 VA Primary

Addresses

Primary practice location

5231 Hickory Park Dr Ste D
Glen Allen, VA 23059-2619

Mailing address

4990 Sadler PL # 3557
Glen Allen, VA 23060-6122
Phone (804) 334-3802

Other identifiers 2

IdentifierTypeStateIssuer
024174296OtherVAMEDICARE
30016087300002MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL RVAHEALTHCAREATHOME@GMAIL.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170502000503 VA Practitioner - Nurse Practitioner 1658658521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5231 Hickory Park Dr
Suite D
Glen Allen, VA 23059-2619
Phone (804) 334-3802

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001210613VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rva Healthcare at Home Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients
Adult & Geriatric Primary Care Associates, LLC Nurse Practitioner PastSince Apr 26, 2020 Accepting new patients

Locations

5231 Hickory Park Dr
Ste D
Glen Allen, VA 23059
Phone (804) 290-4340

6001 Lakeside Ave
Ste 7
Richmond, VA 23228
Phone (804) 334-3802

Organizations & group practices 2

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.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1689117780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 SADLER PL # 3557",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606122",
            "telephone_number": "804-334-3802",
            "fax_number": "804-302-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 HICKORY PARK DR STE D",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592619",
            "telephone_number": "804-334-3802",
            "fax_number": "804-302-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSER",
        "first_name": "JENNIFER",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0001210613",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0001210613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "024174296",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016087300002",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RVAHEALTHCAREATHOME@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "RVAHEALTHCAREATHOME@GMAIL.COM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5231 Hickory Park Dr Ste D",
            "city": "Glen Allen",
            "state": "VA",
            "country_code": "US",
            "postal_code": "230592619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.