Individual provider Active NPI

Jennifer Jennifer Katsuva

  • Psychiatric/Mental Health Nurse Practitioner
  • Williston, VT
National Provider Identifier
1932068822
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
101.0138409 Issued in VT
Practice address
600 Blair Park Rd Ste 306
Williston, VT 05495-7855
Phone
(802) 655-7110
NPI assigned
Jan 17, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Supportive Care of Vermont LLC 4 clinicians

Practice addresses (Care Compare)

1478 Huntington Rd
Richmond, VT 05477-9726
Phone (718) 298-4375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20260212001859 VT Practitioner - Nurse Practitioner 5193204873 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101.0138409VTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care of Vermont LLC Psychiatric/Mental Health CurrentSince Jan 5, 2026 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101.0138409 VT Primary

Addresses

NPPES NPI Registry

Primary practice location

600 Blair Park Rd Ste 306
Williston, VT 05495-7855

Mailing address

600 Blair Park Rd Ste 306
Williston, VT 05495-7855

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2026.

{
    "created_epoch": "1768608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1932068822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLAIR PARK RD STE 306",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BLAIR PARK RD STE 306",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957855",
            "telephone_number": "802-655-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSUVA",
        "first_name": "JENNIFER",
        "middle_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0138409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

Verify at the official NPI Registry.