Individual provider Active NPI

Janette Jennison, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Plymouth, MA
National Provider Identifier
1760840573
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN205040 Issued in MA
Practice address
2 School St
Plymouth, MA 02360-3964
Phone
(508) 524-1961
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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 RN205040 MA Primary

Addresses

Primary practice location

2 School St
Plymouth, MA 02360-3964

Mailing address

45 West Rd
Unit 3D
Orleans, MA 02653-3241
Phone (508) 524-1961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20170316001699 MA Practitioner - Nurse Practitioner 5799060661 Reassigns benefits to 1 organization
Practice locations: Brewster, MA; Falmouth, MA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prospect Hill Consultants Inc.Group PAC ID 9436215985, 2 clinicians

Practice addresses (Care Compare)

16 Waterhouse Rd
Bourne, MA 02532-3897
Phone (508) 759-7279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN205040MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Hill Consultants Inc. CurrentSince Jan 27, 2018 Accepting new patients
Compass Circle Behavioral Health LLC PastSince Oct 6, 2024 Accepting new patients
High Point Treatment Center Inc. Past Accepting new patients

Locations

16 Waterhouse Rd
Buzzards Bay, MA 02532
Phone (508) 759-7279

Organizations & group practices 3

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1760840573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WEST RD",
            "address_2": "UNIT 3D",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026533241",
            "telephone_number": "508-524-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SCHOOL ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603964",
            "telephone_number": "508-524-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNISON",
        "first_name": "JANETTE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN205040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.