Jennifer Ruth Prentiss, MSN, APRN, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN236711 Issued in MA

Practice address

83 Herrick St
Beverly, MA 01915-2757

Phone

(978) 927-4800

NPI assigned

Oct 11, 2019

Last updated

Oct 11, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Master of Science - Nursing

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jprentiss759486@direct.ochin.org
• Direct secure messaging: prentiss.jennifer.bwh@direct.partners.masshiway.net

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.

• Brigham & Womens Hospital, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1790717650
  Medicare reassignment NPD
• Essex County OBGYN Assoc Inc

  • Obstetrics & Gynecology Physician
  • Beverly, MA
  • NPI 1538275870
  Medicare reassignment NPD
• Upham's Corner Health Committee, Inc.

  dba Upham's Corner Health Center

  • Community Health Clinic/Center
  • Dorchester, MA
  • NPI 1780780486
  Medicare reassignment NPD
• Brigham and Women's Hospital

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1093885816
  NPD
• Beth Israel Lahey Health Specialty Care, Inc.

  • Internal Medicine Physician
  • Gloucester, MA
  • NPI 1235147760
  NPD (past)
• Brigham & Womens Physicians Organization Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1033535497
  NPD (past)

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1750923744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HERRICK ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152757",
            "telephone_number": "978-927-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HERRICK ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152757",
            "telephone_number": "978-927-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENTISS",
        "first_name": "JENNIFER",
        "middle_name": "RUTH",
        "credential": "MSN, APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "RN236711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Pothier
• Ellen T Poveromo, PT
• John J Powers, LICSW
• John M. Pratico
• Premium Home Healthcare LLC
• Amrou Presume, OTD,OTR/L
• Donna Rose Prezzano, LICSW
• Julie Marie Procacini
• Mathew Procopio, DPT, PT
• Amy Prodanas

• Advanced Practice Midwife in Beverly, MA
• Providers in Beverly, MA by specialty
• Advanced Practice Midwife in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.