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Jennie M Hack , APN

Nurse Practitioner - Pediatrics β€’ Hamilton, NJ

Active NPI 1437596368 Individual Practitioner Female Practitioner
Practice location in NPPES

3575 Quakerbridge Rd
Hamilton, NJ 086191271

Call 8882445373 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3575 Quakerbridge Rd

Hamilton, NJ 086191271

Telephone 8882445373
Organization at the Same NPPES Address or Phone
Children's Specialized Hospital Facility NPI 1396886297

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jennie Hack has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jennie Hack as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Hamilton and New Jersey

6 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Hamilton, NJ (492 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-02
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES NJ 26NJ00587300
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20191028003184

Enrollment State Jurisdiction

NJ

PECOS Control ID

3577796614

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Dr. Ayesha Adil , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1700310653

Doctor of Medicine (M.D.)

Salmahn Alam

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1174889208
Stephanie Bennett

Occupational Therapist

NPI 1538567037
NPI 1356550560

Doctor of Psychology (Psy.D.)

Dr. Siddesh Gopalakrishnan , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1053974071

Doctor of Medicine (M.D.)

Kristen Kluin , LCSW

Social Worker - Clinical

NPI 1841823325

Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location April 02, 2024

Registered at 3575 QUAKERBRIDGE RD, HAMILTON, NJ 086191271 (Tel: 8882445373)

πŸ“
Updated Business Mailing Address April 02, 2024

Registered at 3575 QUAKERBRIDGE RD, HAMILTON, NJ 086191271 (Tel: 8882445373)

πŸ‘€
Provider Name / Credentials Updated April 02, 2024

Recorded as JENNIE HACK, APN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2024

Nurse Practitioner (license number reported to NPPES: NJ 26NJ00587300)

πŸ“
Updated Practice Location August 11, 2020

Registered at 200 TRENTON ROAD, BROWNS MILLS, NJ 08015 (Tel: 6098936611)

πŸ“
Updated Business Mailing Address August 11, 2020

Registered at 200 TRENTON ROAD, BROWNS MILLS, NJ 08015 (Tel: 6098936611)

βœ…
NPI Profile Active June 01, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 01, 2013

Registered at 3601 A ST, PHILADELPHIA, PA 191341043 (Tel: 2154275000)

πŸ“
Business Mailing Address (Initial Record) June 01, 2013

Registered at 3601 A ST, PHILADELPHIA, PA 191341043 (Tel: 2154275000)

πŸ‘€
Provider Name / Credentials (Initial Record) June 01, 2013

Recorded as JENNIE HACK, CPNP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2013

Nurse Practitioner (license number reported to NPPES: PA SP010101)

🟒
Initial NPI Registration & Enumeration June 01, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1437596368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2013
Last Update: April 02, 2024
Sole Proprietor: No

Mailing Address

3575 Quakerbridge Rd

Hamilton, NJ 086191271

Phone: 8882445373

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.