Individual provider Active NPI

Jennifer Renae Delp, DNP, FNP-BC

  • Family Nurse Practitioner
  • Kirksville, MO
National Provider Identifier
1902652647
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024011376 Issued in MO
Practice address
1611 S Baltimore St
Kirksville, MO 63501-4518
Phone
(660) 665-7575
Fax
(660) 665-7576
NPI assigned
Apr 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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 2024011376 MO Primary

Addresses

Primary practice location

1611 S Baltimore St
Kirksville, MO 63501-4518

Mailing address

2973 E Highway 24
Moberly, MO 65270-5550
Phone (660) 998-3705

Other practice location 1

1600 N Morley St
Moberly, MO 65270-3666
Phone (660) 372-9595

Other names 1

  • Ms. Jennifer Renae Waltman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240529001085 MO Practitioner - Nurse Practitioner 9739521352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hannibal Regional Healthcare System IncGroup PAC ID 1254236300, 256 clinicians

Practice addresses (Care Compare)

1206 N Missouri St
Suite C
Macon, MO 63552-2150
Phone (660) 395-7575

Hospital & facility affiliations

  • Hannibal Regional Hospital Hospital, Hannibal, MO, CCN 260025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System, Inc CurrentSince May 10, 2024 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince May 10, 2024 Accepting new patients
Hannibal Regional Healthcare System, Inc Current Accepting new patients

Locations

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

1611 S Baltimore St
Kirksville, MO 63501
Phone (660) 372-9595

1206 N Missouri St
Ste C
Macon, MO 63552
Phone (660) 395-7575

2100 Silva Ln
Ste A
Moberly, MO 65270
Phone (660) 263-7201

1600 N Morley St
Moberly, MO 65270
Phone (660) 263-1225

Interoperability endpoints

  • Direct secure messaging: jennifer.delp.p1@direct.cfmkv.nextgenshare.com
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1902652647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 E HIGHWAY 24",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652705550",
            "telephone_number": "660-998-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014518",
            "telephone_number": "660-665-7575",
            "fax_number": "660-665-7576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N Morley St",
            "address_purpose": "LOCATION",
            "city": "Moberly",
            "state": "MO",
            "postal_code": "652703666",
            "country_code": "US",
            "telephone_number": "660-372-9595",
            "fax_number": "660-372-9596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELP",
        "first_name": "JENNIFER",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024011376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WALTMAN",
            "middle_name": "RENAE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.