Jensyn Serene Whitehead, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

403370 Issued in KY

Practice address

39 Hidden Valley Dr
Bidwell, OH 45614-9591

Phone

(740) 446-7623

Fax

(740) 446-7643

NPI assigned

Jan 6, 2025

Last updated

May 15, 2026By the provider in NPPES

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 OH

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology of North Central Ohio IncGroup PAC ID 7113058801, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Advanced Dermatology of North Central Ohio Inc

  • Procedural Dermatology Physician
  • Mansfield, OH
  • NPI 1073528733
  Medicare reassignment Care Compare group NPD
• Blodgett Dermatology Inc.

  • Dermatology Physician
  • Chillicothe, OH
  • NPI 1942400023
  NPD
• The Nest Day Spa LLC

  • Family Nurse Practitioner
  • Russell, KY
  • NPI 1912832577
  NPD (past)

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1841009537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TOWNSHIP ROAD 209",
            "city": "WILLOW WOOD",
            "state": "OH",
            "postal_code": "456969041",
            "telephone_number": "740-646-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 HIDDEN VALLEY DR",
            "city": "BIDWELL",
            "state": "OH",
            "postal_code": "456149591",
            "telephone_number": "740-446-7623",
            "fax_number": "740-446-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "JENSYN",
        "middle_name": "SERENE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "403370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunny Day Mental Health PLLC
• Roseanna Swim
• Vrable III Inc (Abbyshire Place)
• Shelly Season Walker
• Amy Walton
• Brittney Taylor Young
• Ralph Young, PSS

• Nurse Practitioner in Bidwell, OH
• Providers in Bidwell, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.