JENNIFER LYNN ANDERSON – Nurse Practitioner, NPI 1063387736

JENNIFER LYNN ANDERSON is a healthcare provider. based in Morristown, New Jersey. specializing in NURSE PRACTITIONER. They hold a License No. 26NJ15437300 (NJ). The NPI Number for JENNIFER LYNN ANDERSON is 1063387736

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
JENNIFER LYNN ANDERSON
NPI
1063387736
Phone
(973) 494-7494
Address
310 MADISON AVE STE 300
Enumeration Date
10 October 2025
Last Update Date
10 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9732061477
Graduation Year
2025 (1 year ago)
PAC ID
1456846575
Group Practice PAC ID
1557712981
Professional Enrollment ID
I20251216003963
Address ID
NJ079606967MO310XXAVEX309
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for JENNIFER LYNN ANDERSON

  • 310 MADISON AVE STE 300

    MORRISTOWN, NJ 079606967

    Phone: (973) 494-7494

    Mailing address matches the actual address.

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: 2025-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20251216003963INurse 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 07960)

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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: 1557712981View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Interventional Pain Management, Physical Medicine And Rehabilitation, Osteopathic Manipulative Medicine, Pain Management, Sports MedicineNJ
Pain Management, AnesthesiologyNJ
N E U R O S U R G E R YTX
Nurse PractitionerNJ
Physical Medicine And Rehabilitation, Pain ManagementPA
Occupational Therapist In Private PracticeNY
Nurse PractitionerNJ
Pain ManagementNJ
Physical Medicine And RehabilitationNJ

Reviews

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Frequently asked questions

What is JENNIFER LYNN ANDERSON's NPI number?
JENNIFER LYNN ANDERSON's NPI is 1063387736 — the number used across U.S. healthcare to identify this provider.
Is JENNIFER LYNN ANDERSON still an active registrant?
JENNIFER LYNN ANDERSON carries an active NPI according to the public dataset.
What area of care is associated with JENNIFER LYNN ANDERSON?
JENNIFER LYNN ANDERSON's record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JENNIFER LYNN ANDERSON?
Directory geography for JENNIFER LYNN ANDERSON centers on Morristown, New Jersey.
Does JENNIFER LYNN ANDERSON accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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