JENNIFER LEA GREGORY (MSN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1679148472

JENNIFER LEA GREGORY (MSN, PMHNP-BC) is a healthcare provider. based in Greenwood, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, PMHNP-BC. They hold a License No. 71011226A (IN). The NPI Number for JENNIFER LEA GREGORY (MSN, PMHNP-BC) is 1679148472

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LEA GREGORY (MSN, PMHNP-BC)
NPI
1679148472
Phone
(800) 447-1348
Address
898 E MAIN ST
Enumeration Date
24 May 2021
Last Update Date
2 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8044046270
Graduation Year
2020 (6 years ago)
PAC ID
4587062492
Group Practice PAC ID
1759742919
Professional Enrollment ID
I20241231000038
Address ID
VA232331115RI3540XRDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for JENNIFER LEA GREGORY (MSN, PMHNP-BC)

  • 898 E MAIN ST

    GREENWOOD, IN 461431407

    Phone: (800) 447-1348

    Type: Location

  • 898 E Main St

    Greenwood, IN 461431407

    Phone: (800) 447-1348

    Type: Location

  • 675 JUSTICE WAY

    ROOM C0049

    INDIANAPOLIS, IN 46203

    Phone: (877) 465-6650

    Fax: (804) 294-2775

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211007000504INurse PractitionerINTBD
I20220830004598INurse PractitionerMDTBD
I20241231000038INurse PractitionerVATBD
I20250904004731INurse PractitionerILTBD
I20250905000742INurse PractitionerMATBD
I20251119001692INurse PractitionerMITBD
I20251222003858INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46143)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759742919View full group profile
NameSpecialtyState
Nurse PractitionerAK
Clinical Social WorkerIN
P S Y C H I A T R YSC
Nurse PractitionerMI
Mental Health CounselorLA
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerAZ
Nurse PractitionerIN
Nurse PractitionerMO

Reviews

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Frequently asked questions

Is there an official ID for JENNIFER LEA GREGORY (MSN, PMHNP-BC) in U.S. healthcare records?
The official identifier for JENNIFER LEA GREGORY (MSN, PMHNP-BC) is NPI 1679148472.
Is there an active status for JENNIFER LEA GREGORY (MSN, PMHNP-BC)?
For scheduling context, JENNIFER LEA GREGORY (MSN, PMHNP-BC) is shown as active in the registry.
What expertise is attributed to JENNIFER LEA GREGORY (MSN, PMHNP-BC)?
JENNIFER LEA GREGORY (MSN, PMHNP-BC)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JENNIFER LEA GREGORY (MSN, PMHNP-BC)?
Travel planning: use Greenwood, Indiana as the reference point for JENNIFER LEA GREGORY (MSN, PMHNP-BC), then confirm.
Can I trust this NPI listing for JENNIFER LEA GREGORY (MSN, PMHNP-BC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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