Jennifer Elizabeth Walter, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

213241-3 Issued in MN

Practice address

2374 Diamond Hill Rd Unit 1
Cumberland, RI 02864-4745

Phone

(401) 680-0393

Fax

(401) 680-0393

NPI assigned

Aug 7, 2013

Last updated

Jun 9, 2025By 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

Other names 1

• Jennifer Elizabeth Hague Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 10, 2025 through Jan 10, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, 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.

• Renewed Health

  • Adult Health Nurse Practitioner
  • Cumberland, RI
  • NPI 1275377970
  NPD Authorized official

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1912339433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MENDON RD STE E-166",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028644391",
            "telephone_number": "401-680-0393",
            "fax_number": "401-344-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2374 DIAMOND HILL RD UNIT 1",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028644745",
            "telephone_number": "401-680-0393",
            "fax_number": "401-680-0393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Riverside Avenue",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55454",
            "country_code": "US",
            "telephone_number": "612-273-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTER",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "213241-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HAGUE",
            "middle_name": "ELIZABETH",
            "credential": "CNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• VMD Primary Providers of Rhode Island PC
• VMD Primary Providers of Rhode Island PC
• Christopher T Vozzella, PA-C
• Walgreen Co (Walgreens #19263)
• Walsh Nutrition Consulting Inc.
• Sarah Wanderley
• Marianne Warren, RNP
• Melanie Ann Waterman, PHARMD
• Kelly Ann Watier, LMT
• Sarah Watson, NP

• Adult Health Nurse Practitioner in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Adult Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.