Individual provider Active NPI

Jennifer Lynn Chairge, FNP-BC

  • Family Nurse Practitioner
  • Washington, PA
National Provider Identifier
1760136147
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025586 Issued in PA
Practice address
380 W Chestnut St
Washington, PA 15301-4657
Phone
(724) 578-5647
Fax
(877) 840-6960
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 SP025586 PA Primary

Addresses

Primary practice location

380 W Chestnut St
Washington, PA 15301-4657

Mailing address

380 W Chestnut St Ste 201
Washington, PA 15301-4643
Phone (724) 578-5647

Other names 1

  • Jennifer Lynn Conklin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220510000465 PA Practitioner - Nurse Practitioner 5597142729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

380 W Chestnut St
Suite 201
Washington, PA 15301-4643
Phone (724) 578-5647

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP025586PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neuronest Collective LLC Family CurrentSince Feb 9, 2026 Accepting new patients
Intercare Health Systems, LTD, Dba Intercare Psychiatric Services PastSince May 18, 2025 Accepting new patients

Locations

380 W Chestnut St
Washington, PA 15301
Phone (724) 228-0782

380 W Chestnut St
Ste 201
Washington, PA 15301
Phone (724) 578-5643

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1760136147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 W CHESTNUT ST STE 201",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014643",
            "telephone_number": "724-578-5647",
            "fax_number": "877-840-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W CHESTNUT ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014657",
            "telephone_number": "724-578-5647",
            "fax_number": "877-840-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAIRGE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CONKLIN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.