Jennifer L Jestel, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN169469 Issued in GA

Practice address

39 Oak Hill CT
Building C
Newnan, GA 30265-2392

Phone

(770) 683-7873

Fax

(770) 683-7870

NPI assigned

Mar 21, 2007

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

Other names 1

• Jennifer Waller Former name

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

Merit-based Incentive Payment System (MIPS)

Final score

91.62 of 100Reported as apm

Quality

83.25

Promoting interoperability

100

Improvement activities

40

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.

• Columbus Ambulatory Healthcare Services, Inc.

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1790733244
  Medicare reassignment NPD
• Columbus Ambulatory Healthcare Services, Inc.

  • Family Medicine Physician
  • Phenix City, AL
  • NPI 1699240531
  NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1710002225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 OAK HILL CT BLDG C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652392",
            "telephone_number": "770-683-7873",
            "fax_number": "770-683-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 OAK HILL CT",
            "address_2": "BUILDING C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652392",
            "telephone_number": "770-683-7873",
            "fax_number": "770-683-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESTEL",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN169469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WALLER",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas B. Jennings Jr., MS, LPC
• Erin Elizabeth Jerger, RD, CDE
• Lauren A Jernigan, PA-C
• Kelley Jerris, MOTR/L
• Melanie Lynn Jessel, L.P.C.
• Sarah Ann Jett, NP-C
• Mike W Jin, DMD
• John Coleman Wright, Jr. Foundation
• Alfred Wilford Johnson, CRNA
• April Franchesca Johnson

• Nurse Practitioner in Newnan, GA
• Providers in Newnan, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.