Individual provider Active NPI

Jennifer Monsrud, NP

  • Family Nurse Practitioner
  • Jackson, GA
National Provider Identifier
1699335810
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP220568 Issued in GA
Practice address
794 McDonough Rd
Jackson, GA 30233-1572
Phone
(470) 251-5300
Fax
(470) 251-5301
NPI assigned
Jun 19, 2019
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN220568 GA
Family Nurse Practitioner 363LF0000X APRN-NP220568 GA Primary
Orthopedic Registered Nurse 163WX0800X RN220568 GA

Addresses

Primary practice location

794 McDonough Rd
Jackson, GA 30233-1572

Mailing address

794 McDonough Rd
Jackson, GA 30233-1572
Phone (470) 251-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20230309000702 GA Practitioner - Nurse Practitioner 7416320692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Georgia Pain and Wellness CenterGroup PAC ID 8527200864, 53 clinicians

Practice addresses (Care Compare)

455 Philip Blvd
Suite 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP220568GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Pain and Wellness Center CurrentSince Dec 12, 2024 Accepting new patients
Georgia Pain and Wellness Center CurrentSince Dec 12, 2024 Accepting new patients
Select Interventional Pain, PC CurrentSince Dec 1, 2025 Accepting new patients

Locations

1501 Milstead Rd NE
Ste 190
Conyers, GA 30012
Phone (770) 760-9900

794 McDonough Rd
Ste 108
Jackson, GA 30233
Phone (470) 251-5300

455 Philip Blvd
Ste 140
Lawrenceville, GA 30046
Phone (787) 618-5889

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14337/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.monsrud.1@14337.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1699335810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 MCDONOUGH RD",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331572",
            "telephone_number": "470-251-5300",
            "fax_number": "470-251-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 MCDONOUGH RD",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331572",
            "telephone_number": "470-251-5300",
            "fax_number": "470-251-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSRUD",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN220568",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP220568",
            "primary": true
        },
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "GA",
            "license": "RN220568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, GA

Sources for this page

Verify at the official NPI Registry.