Active NPI
Jennifer Rogers, CRNP, PMHNP, FNP-BC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- L8-0000186
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| L10038189 | DE | MD | Addiction (Substance Use Disorder) Registered Nurse |
| LG0000740 | DE | MD | Family Nurse Practitioner |
| SG013731 | PA | MD | Family Nurse Practitioner |
| L8-0000186 | DE | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
| SP0234684 | PA | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Treatment Centers, Inc. | Current | Accepting new patients | |
| JMR Consulting LLC | Family | Current | 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.
-
dba Northeast Treatment Centers
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Philadelphia, PA
- NPI 1083712830
-
dba Banyan Delaware
- Substance Abuse Rehabilitation Facility
- Milford, DE
- NPI 1316579634
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkton, MD
- NPI 1376523357
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.
- 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.