Individual provider Active NPI

Jessica Thimmel, APN

  • Family Nurse Practitioner
  • Upper Saddle River, NJ
National Provider Identifier
1790506103
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15179700 Issued in NJ
Practice address
2 Park Way Ste B
Upper Saddle River, NJ 07458-2300
Phone
(201) 882-7526
NPI assigned
Oct 18, 2024
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 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 26NJ15179700 NJ Primary

Addresses

Primary practice location

2 Park Way Ste B
Upper Saddle River, NJ 07458-2300

Mailing address

6 Voorhis PL
Pompton Plains, NJ 07444-1820
Phone (973) 735-3309

Other practice location 1

6 Voorhis Pl
Pompton Plains, NJ 07444-1820
Phone (973) 735-3309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20241031001450 NJ Practitioner - Nurse Practitioner 4981137718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dispatch Health Medical PCGroup PAC ID 9436490562, 15 clinicians
Saint James Health, IncGroup PAC ID 7214237916, 14 clinicians

Practice addresses (Care Compare)

2 Park Way
1B
Upper Saddle River, NJ 07458-2345
Phone (201) 882-7526

228 Lafayette St
FL 2
Newark, NJ 07105-1815
Phone (973) 789-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15179700NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth Medical PC CurrentSince Jul 22, 2025 Accepting new patients
Dispatch Health Medical PC CurrentSince Oct 18, 2024 Accepting new patients

Locations

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

2 Parkway
#1B
Upper Saddle River, NJ 07458
Phone (201) 882-7526

50 Tice Blvd
Ste A35
Woodcliff Lk, NJ 07677
Phone (201) 882-7526

Interoperability endpoints

  • Direct secure messaging: jessica.thimmel.1@13869.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1790506103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 VOORHIS PL",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441820",
            "telephone_number": "973-735-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK WAY STE B",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582300",
            "telephone_number": "201-882-7526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Voorhis Pl",
            "address_purpose": "LOCATION",
            "city": "Pompton Plains",
            "state": "NJ",
            "postal_code": "074441820",
            "country_code": "US",
            "telephone_number": "973-735-3309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIMMEL",
        "first_name": "JESSICA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15179700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Saddle River, NJ

Sources for this page

Verify at the official NPI Registry.