Individual provider Active NPI

Jennifer M Shuart, PMHNP-BC, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Epping, NH
National Provider Identifier
1790980746
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
078416-23 Issued in NH
Practice address
131B Main St
Epping, NH 03042-2428
Phone
(617) 283-3305
Fax
(603) 218-6990
NPI assigned
Jun 19, 2007
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 078416-23 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 078416-23 NH Primary
Clinical Social Worker 1041C0700X 114969 MA

Addresses

Primary practice location

131B Main St
Epping, NH 03042-2428

Mailing address

131 Main St Unit B
Epping, NH 03042-2405
Phone (617) 283-3305

Other identifiers 2

IdentifierTypeStateIssuer
110027964AMedicaidMA
3114987MedicaidNH

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
I20221129001593 MA Practitioner - Nurse Practitioner 2961567953 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114969MAMDClinical Social Worker
078416-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer M Shuart Clinical CurrentSince Nov 28, 2021 Accepting new patients
Community Medical Associates, Inc. CurrentSince Nov 20, 2024 Accepting new patients

Locations

34 Haverhill St
Lawrence, MA 01841

131 Main St
Unit B
Epping, NH 03042
Phone (617) 283-3305

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, 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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1790980746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MAIN ST UNIT B",
            "city": "EPPING",
            "state": "NH",
            "postal_code": "030422405",
            "telephone_number": "617-283-3305",
            "fax_number": "603-218-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131B MAIN ST",
            "city": "EPPING",
            "state": "NH",
            "postal_code": "030422428",
            "telephone_number": "617-283-3305",
            "fax_number": "603-218-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUART",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "PMHNP-BC, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "078416-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "078416-23",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114969",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027964A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3114987",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Epping, NH

Sources for this page

Verify at the official NPI Registry.