Individual provider Active NPI

Jennifer Nolan, APN

  • Adult Psychiatric/Mental Health Registered Nurse
  • Ewing, NJ
National Provider Identifier
1801470414
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
26NO11080800 Issued in NJ
Practice address
35 Esther Ave
Ewing, NJ 08618-3203
Phone
(609) 947-2844
NPI assigned
May 10, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN730148 PA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 26NO11080800 NJ Primary

Addresses

Primary practice location

35 Esther Ave
Ewing, NJ 08618-3203

Mailing address

35 Esther Ave
Ewing, NJ 08618-3203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211207000459 NJ Practitioner - Nurse Practitioner 3971993973 Reassigns benefits to 2 organizations
I20230601000460 PA Practitioner - Nurse Practitioner 3971993973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Memory and Behavioral CareGroup PAC ID 7719013267, 71 clinicians
PA Memory and Behavioral Care LLCGroup PAC ID 3476918558, 14 clinicians

Practice addresses (Care Compare)

14 Ridgedale Ave
Suite 103
Cedar Knolls, NJ 07927-1106
Phone (973) 295-6335

641 N 13TH St
Suite E 101
Easton, PA 18042-1430
Phone (973) 295-6335

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NO11080800NJMDAdult Psychiatric/Mental Health Registered Nurse
RN730148PAMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Medical Center CurrentSince Nov 1, 2021 Accepting new patients
PA Memory and Behavioral Care LLC CurrentSince Feb 1, 2023 Accepting new patients
NJ Memory and Behavioral Care CurrentSince Jul 22, 2022 Accepting new patients
Hunterdon Medical Center CurrentSince Nov 1, 2021 Accepting new patients

Locations

14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335

190 State Route 31
Ste 100
Flemington, NJ 08822
Phone (908) 788-6654

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

641 N 13th St
#E101
Easton, PA 18042
Phone (908) 722-4122

1480 Oxford Valley Rd
Yardley, PA 19067
Phone (215) 321-3921

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": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1801470414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ESTHER AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086183203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ESTHER AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086183203",
            "telephone_number": "609-947-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "RN730148",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NO11080800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

Verify at the official NPI Registry.