NPIMap

Individual provider Active NPI

Jessica R Jaindl, FNP-C

  • Family Nurse Practitioner
  • Mount Jackson, VA
National Provider Identifier
1700512589
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184710 Issued in VA
Practice address
120 Medical Dr
Mount Jackson, VA 22842-9417
Phone
(405) 477-3185
NPI assigned
Jul 25, 2022
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024184710 VA Primary

Addresses

Primary practice location

120 Medical Dr
Mount Jackson, VA 22842-9417

Mailing address

120 Medical Dr
Mount Jackson, VA 22842-9417
Phone (405) 477-3185

Other practice location 1

119 University Blvd Ste B
Harrisonburg, VA 22801-3753
Phone (540) 434-5709

Other names 1

  • Jessica Jaindl Other name

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
I20230208000280 VA Practitioner - Nurse Practitioner 1355713942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians

Practice addresses (Care Compare)

120 Medical Dr
Mount Jackson, VA 22842-9417
Phone (540) 477-3185

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Mar 1, 2024 Accepting new patients
RMH Medical Group LLC CurrentSince Mar 1, 2024 Accepting new patients
Sentara RMH Medical Center PastSince Dec 20, 2022 Accepting new patients
Rockingham Memorial Hospital Past Accepting new patients

Locations

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

120 Medical Dr
Mount Jackson, VA 22842
Phone (540) 477-3185

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1700512589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MEDICAL DR",
            "city": "MOUNT JACKSON",
            "state": "VA",
            "postal_code": "228429417",
            "telephone_number": "405-477-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEDICAL DR",
            "city": "MOUNT JACKSON",
            "state": "VA",
            "postal_code": "228429417",
            "telephone_number": "405-477-3185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 University Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228013753",
            "country_code": "US",
            "telephone_number": "540-434-5709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAINDL",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "JAINDL",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Jackson, VA

Sources for this page

Verify at the official NPI Registry.