Individual provider Active NPI

Jessica E. Eggers, APN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1710712005
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15118000 Issued in NJ
Practice address
16601 N 40TH St Ste 216
Phoenix, AZ 85032-3345
Phone
(732) 641-0041
Fax
(732) 649-1221
NPI assigned
Sep 5, 2024
Last updated
Oct 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15118000 NJ Primary

Addresses

Primary practice location

16601 N 40TH St Ste 216
Phoenix, AZ 85032-3345

Mailing address

16601 N 40TH St Ste 216
Phoenix, AZ 85032-3345
Phone (732) 641-0041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250521001469 NJ Practitioner - Nurse Practitioner 9436678653 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lavender New Jersey Psychiatric Nurse Practitioner PC Psychiatric/Mental Health CurrentSince Aug 9, 2026 Accepting new patients
Moonshot Psychiatric Nurse Practitioner PC Psychiatric/Mental Health CurrentSince Feb 20, 2025 Accepting new patients

Locations

971 US Highway 202 N
#8057
Branchburg, NJ 08876

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, 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": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792972800000",
    "number": "1710712005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST STE 216",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323345",
            "telephone_number": "732-641-0041",
            "fax_number": "732-649-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST STE 216",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323345",
            "telephone_number": "732-641-0041",
            "fax_number": "732-649-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGERS",
        "first_name": "JESSICA",
        "middle_name": "E.",
        "credential": "APN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15118000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.