Individual provider Active NPI

Jennifer Lynn Chatmon, RN, FNP-C

  • Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1992214357
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5009976 Issued in NC
Practice address
3922 W Market St
Greensboro, NC 27407-1304
Phone
(336) 252-3993
Fax
(855) 308-2340
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 210922 NC
Nurse Practitioner 363L00000X 5009976 NC Primary

Addresses

Primary practice location

3922 W Market St
Greensboro, NC 27407-1304

Mailing address

PO Box 360
Sylva, NC 28779-0360
Phone (888) 339-6065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20181226001133 NC Practitioner - Nurse Practitioner 5496090292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lamond Family Medicine PLLCGroup PAC ID 6103802012, 49 clinicians

Practice addresses (Care Compare)

3922 W Market St
Greensboro, NC 27407-1304
Phone (336) 252-3993

Merit-based Incentive Payment System (MIPS)

Final score
86.75 of 100Reported as group
Quality
80.5
Promoting interoperability
100
Improvement activities
40
Cost
75.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210922NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NH-CL Clinics, LLC CurrentSince Jan 20, 2021 Accepting new patients

Locations

18 Oak Branch Dr
Ste C
Greensboro, NC 27407
Phone (336) 579-2312

500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115

Interoperability endpoints

  • Direct secure messaging: jchatmon539758@direct.novanthealth.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1992214357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790360",
            "telephone_number": "888-339-6065",
            "fax_number": "828-538-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071304",
            "telephone_number": "336-252-3993",
            "fax_number": "855-308-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATMON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "210922",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.