Individual provider Active NPI

Jennifer Rogers, CRNP, PMHNP, FNP-BC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Wilmington, DE
National Provider Identifier
1922423755
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
L8-0000186 Issued in DE
Practice address
3315 Kirkwood Hwy
Wilmington, DE 19808-6131
Phone
(302) 691-0140
NPI assigned
Mar 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X L10038189 DE
Family Nurse Practitioner 363LF0000X LG0000740 DE
Family Nurse Practitioner 363LF0000X SG013731 PA
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X SP0234684 PA
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X L8-0000186 DE Primary

Addresses

Primary practice location

3315 Kirkwood Hwy
Wilmington, DE 19808-6131

Mailing address

2601 Annand Dr Ste 7
Wilmington, DE 19808-3719
Phone (302) 588-6362

Other practice location 1

2601 Annand Dr Ste 7
Wilmington, DE 19808-3719
Phone (302) 588-6362

Other practice location 2

191 Christiana Rd
New Castle, DE 19720-3024
Phone (302) 322-1794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 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
I20250314003211 DE Practitioner - Nurse Practitioner 0648498865 Reassigns benefits to 1 organization
I20250415000861 MD Practitioner - Nurse Practitioner 0648498865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1120 Blueball Rd
Childs, MD 21916
Phone (302) 332-7243

2601 Annand Dr
Wilmington, DE 19808-3719
Phone (302) 332-7243

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L10038189DEMDAddiction (Substance Use Disorder) Registered Nurse
LG0000740DEMDFamily Nurse Practitioner
SG013731PAMDFamily Nurse Practitioner
L8-0000186DEMDPsychiatric/Mental Health Clinical Nurse Specialist
SP0234684PAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Treatment Centers, Inc. CurrentSince Jun 2, 2024 Accepting new patients
JMR Consulting LLC Family CurrentSince Feb 28, 2025 Accepting new patients
Banyan Delaware LLC Past Accepting new patients

Locations

3315 Kirkwood Hwy
Wilmington, DE 19808
Phone (302) 691-0140

2601 Annand Dr
Ste 7
Wilmington, DE 19808
Phone (302) 332-7243

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": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1922423755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 ANNAND DR STE 7",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083719",
            "telephone_number": "302-588-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198086131",
            "telephone_number": "302-691-0140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Annand Dr Ste 7",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198083719",
            "country_code": "US",
            "telephone_number": "302-588-6362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "191 Christiana Rd",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "DE",
            "postal_code": "197203024",
            "country_code": "US",
            "telephone_number": "302-322-1794",
            "fax_number": "302-322-3498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JENNIFER",
        "credential": "CRNP, PMHNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "L10038189",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG0000740",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SG013731",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP0234684",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0000186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.