Individual provider Active NPI

Joan Stjean, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Chiefland, FL
National Provider Identifier
1962564419
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
026459-23-08 Issued in NH
Practice address
13850 NW 50TH Ave
Chiefland, FL 32626-8683
Phone
(603) 738-2445
NPI assigned
Dec 14, 2006
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 026459-23-08 NH Primary

Addresses

Primary practice location

13850 NW 50TH Ave
Chiefland, FL 32626-8683

Mailing address

PO Box 535
Meredith, NH 03253-0535
Phone (603) 738-2445

Other identifiers 1

IdentifierTypeStateIssuer
3081656MedicaidNH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Ms.mh@live.com Direct
Direct Messaging Address Ms.mh@live.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20060203000502 NH Practitioner - Nurse Practitioner 3779597232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11 Canal St
Meredith, NH 03253-5902
Phone (603) 738-2445

National Provider Directory

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1962564419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "MEREDITH",
            "state": "NH",
            "postal_code": "032530535",
            "telephone_number": "603-738-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13850 NW 50TH AVE",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326268683",
            "telephone_number": "603-738-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STJEAN",
        "first_name": "JOAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "026459-23-08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081656",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ms.mh@live.com",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13850 NW 50th Ave",
            "city": "Chiefland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326268683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ms.mh@live.com",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13850 NW 50th Ave",
            "city": "Chiefland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326268683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chiefland, FL

Sources for this page

Verify at the official NPI Registry.