Individual provider Active NPI

Jennifer Macneil, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Newburyport, MA
National Provider Identifier
1780979757
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN254941 Issued in MA
Practice address
42 Pleasant St
Newburyport, MA 01950-2606
Phone
(978) 255-4871
NPI assigned
Jun 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN254941 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN254941 MA Primary

Addresses

Primary practice location

42 Pleasant St
Newburyport, MA 01950-2606

Mailing address

42 Pleasant St
Newburyport, MA 01950-2606
Phone (978) 255-4871

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
I20230216000496 MA Practitioner - Nurse Practitioner 8325410574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Mental Health and WellnessGroup PAC ID 6608248851, 2 clinicians

Practice addresses (Care Compare)

42 Pleasant St
Unit 6a
Newburyport, MA 01950-2606
Phone (978) 255-4871

Hospital & facility affiliations

  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN254941MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Mental Health and Wellness Psychiatric/Mental Health CurrentSince Oct 7, 2022 Accepting new patients

Locations

42 Pleasant St
Unit 6A
Newburyport, MA 01950
Phone (978) 255-4871

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1780979757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 PLEASANT ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502606",
            "telephone_number": "978-255-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PLEASANT ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502606",
            "telephone_number": "978-255-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACNEIL",
        "first_name": "JENNIFER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN254941",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN254941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.