Individual provider Active NPI

Jennifer Susann Maynard, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hopkinton, NH
National Provider Identifier
1780924001
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
081277-23 Issued in NH
Practice address
633 Maple St Ste 2
Hopkinton, NH 03229-3377
Phone
(603) 825-4922
Fax
(603) 802-5220
NPI assigned
Feb 22, 2013
Last updated
Sep 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 081277-23 NH
Family Nurse Practitioner 363LF0000X 5006045 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 081277-23 NH Primary

Addresses

Primary practice location

633 Maple St Ste 2
Hopkinton, NH 03229-3377

Mailing address

PO Box 92
Hopkinton, NH 03229-0092
Phone (603) 825-4922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20200130000717 NH Practitioner - Nurse Practitioner 3779728530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of New HampshireGroup PAC ID 3870530579, 77 clinicians

Practice addresses (Care Compare)

36 Clinton St
Concord, NH 03301-2359
Phone (603) 271-5300

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
081277-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Hampshire CurrentSince Nov 1, 2025 Accepting new patients
State of New Hampshire CurrentSince Nov 1, 2025 Accepting new patients
Concord Hospital, Inc. Past Accepting new patients

Locations

36 Clinton St
Concord, NH 03301
Phone (603) 271-5075

Organizations & group practices 4

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": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1780924001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "HOPKINTON",
            "state": "NH",
            "postal_code": "032290092",
            "telephone_number": "603-825-4922",
            "fax_number": "603-802-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 MAPLE ST STE 2",
            "city": "HOPKINTON",
            "state": "NH",
            "postal_code": "032293377",
            "telephone_number": "603-825-4922",
            "fax_number": "603-802-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "JENNIFER",
        "middle_name": "SUSANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-22",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "081277-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006045",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "081277-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinton, NH

Sources for this page

Verify at the official NPI Registry.