Jenna Marie Patterson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5017209 Issued in NC

Practice address

860 Summit Crossing PL Ste 120
Gastonia, NC 28054-2217

Phone

(704) 861-2072

NPI assigned

Nov 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenna.pattersonnp.d1.p4@direct.cvm-usa.nextgenshare.com
• Direct secure messaging: patterson.jennafnpbc.p3@direct.cvr.nextgenshare.com
• Direct secure messaging: jenna.pattersonnp.p4@direct.cvm-usa.nextgenshare.com

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.

• Center for Vein Restoration NC PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Greensboro, NC
  • NPI 1083363881
  Medicare reassignment NPD
• Center for Vein Restoration NC PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Charlotte, NC
  • NPI 1013878024
  NPD

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1831807775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 SUMMIT CROSSING PL STE 120",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542217",
            "telephone_number": "704-861-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 SUMMIT CROSSING PL STE 120",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542217",
            "telephone_number": "704-861-2072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15825 Ballantyne Medical Pl Ste 240",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282774790",
            "country_code": "US",
            "telephone_number": "704-544-5245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5017209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick McIntyre, DDS, PLLC
• Karen D Patten, RDH
• Patterson Psych Group, PLLC
• Carly Patterson
• Erin Bagwell Patterson, PSYD
• Jennifer L Patton, OTR/L
• Scott Allan Patton, REGISTERED NURSE
• Rudra Paudel
• Jennifer Lynn Mengel Paul, MSW, LCSWA
• Evelyn Nicole Alexander Pauling, MBA, PHARMD

• Nurse Practitioner in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.