Individual provider Active NPI

Jenna Marie Canales, FNP

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1811766199
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05231023 Issued in TX
Practice address
5589 Greenwich Rd Ste 100
Virginia Beach, VA 23462-6565
Phone
(757) 437-2882
NPI assigned
Dec 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 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 F05231023 TX Primary

Addresses

Primary practice location

5589 Greenwich Rd Ste 100
Virginia Beach, VA 23462-6565

Mailing address

5589 Greenwich Rd Ste 100
Virginia Beach, VA 23462-6565
Phone (757) 437-2882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MA2 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
I20240823000066 VA Practitioner - Nurse Practitioner 8325587231
I20250815001901 MA Practitioner - Nurse Practitioner 8325587231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1221 Main St
Suite 404
Weymouth, MA 02190-1562
Phone (508) 433-3687

416 Belmont St
Suite 202
Worcester, MA 01604-1086
Phone (603) 836-9869

50 Redfield St
Suite 208
Dorchester, MA 02122-3646
Phone (508) 433-3687

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F05231023TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novella Medicine Services of Massachusetts, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Novella Medicine Services of Massachusetts, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Regional Healthcare Group LLC CurrentSince May 26, 2025 Accepting new patients
Guardian Biologics LLC CurrentSince May 26, 2025 Accepting new patients

Locations

48 Dunham Rd
Ste 4150
Beverly, MA 01915

575 Mount Auburn St
Ste B102
Cambridge, MA 02138
Phone (617) 240-6713

50 Redfield St
Ste 208
Dorchester, MA 02122

95 Tremont St
Ste 3
Duxbury, MA 02332

1575 N Main St
Fall River, MA 02720
Phone (508) 324-0328

62 Brown St
Ste 501
Haverhill, MA 01830
Phone (978) 521-6555

22 South St
Ste 201
Hopkinton, MA 01748

198 Charlton Rd
Ste 206
Sturbridge, MA 01566
Phone (508) 765-1600

91 Washington St
Unit 202
Taunton, MA 02780
Phone (508) 386-9888

210 Bear Hill Rd
Ste 204
Waltham, MA 02451
Phone (518) 321-4537

1275 Elm St
Ste D
West Springfield, MA 01089
Phone (860) 334-4835

349 Route 28
Ste B
West Yarmouth, MA 02673

506 Groton Rd
Ste B
Westford, MA 01886

1221 Main St
Ste 404
Weymouth, MA 02190

23 Warren Ave
#145
Woburn, MA 01801

416 Belmont St
Ste 202
Worcester, MA 01604

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1811766199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5589 GREENWICH RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626565",
            "telephone_number": "757-437-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5589 GREENWICH RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626565",
            "telephone_number": "757-437-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALES",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F05231023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.