Jennifer Sherburne, MSN, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2017013361 Issued in NH

Practice address

711 N Taylor St
Gunnison, CO 81230-2208

Phone

(970) 641-7228

NPI assigned

Oct 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NH, CO2 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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Frederiksted Health Care, Inc. 11 clinicians

West Central Mental Health Center, Inc 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• West Central Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Canon City, CO
  • NPI 1265565824

  CO

  Medicare reassignment Care Compare group NPD
• Solvista Health Corp.

  • Primary Care Clinic/Center
  • Canon City, CO
  • NPI 1255734117

  CO

  Medicare reassignment NPD
• Catholic Medical Center

  • Psychiatric Hospital Unit
  • Manchester, NH
  • NPI 1336245240

  NH

  Medicare reassignment NPD
• Frederiksted Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Christiansted, VI
  • NPI 1003374380
  Care Compare group
• Frederiksted Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Christiansted, VI
  • NPI 1164842050
  Care Compare group
• Frederiksted Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Frederiksted, VI
  • NPI 1326627407
  Care Compare group
• Frederiksted Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Frederiksted, VI
  • NPI 1437215134
  Care Compare group
• West Central Mental Health Center Inc.

  • Community/Behavioral Health Agency
  • Canon City, CO
  • NPI 1780432930
  NPD
• West Central Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Westcliffe, CO
  • NPI 1427655307
  NPD
• Catholic Medical Center

  • Anesthesiology Physician
  • Manchester, NH
  • NPI 1003692112
  NPD

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1992255871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N TAYLOR ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302208",
            "telephone_number": "970-641-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N TAYLOR ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302208",
            "telephone_number": "970-641-7228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 McGregor St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031023732",
            "country_code": "US",
            "telephone_number": "603-663-6252",
            "fax_number": "603-663-6257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERBURNE",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP171129",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "2017013361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff_cmcbhs@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "88 McGregor St Ste 105",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031023732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Gunnison, CO
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.

Verify at the official NPI Registry.