JENNSWOOD ENTERPRISE LLC
NPI 1023859436
Clinic/Center - Multi-Specialty in Lafayette, IN
About Jennswood Enterprise Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNSWOOD ENTERPRISE LLC (NPI 1023859436), doing business as Woodhaven Behavioral Llc, is a healthcare organization registered as a multi-specialty in Lafayette, Indiana and active in the NPI registry since June 2024. The organization lists Jennifer Sue Wood, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennswood Enterprise Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jennswood Enterprise LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennswood Enterprise LLC's NPI number?
The NPI number for Jennswood Enterprise LLC is 1023859436. It was assigned to this organization in the NPPES registry on June 3, 2024. The provider is doing business as Woodhaven Behavioral LLC.
Where is Jennswood Enterprise LLC located?
Jennswood Enterprise LLC is located at 100 Executive Dr Ste D, Lafayette, IN 47905. The listed phone number is (765) 537-3880.
What is Jennswood Enterprise LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Jennswood Enterprise LLC enrolled in Medicare?
Yes. Jennswood Enterprise LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jennswood Enterprise LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Jennswood Enterprise LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jennswood Enterprise LLC was last updated on March 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jennswood Enterprise Llc · NPI 1023859436
Multi-Specialty organization in Lafayette, Indiana. Organization record, active in the CMS NPPES registry since June 3, 2024.
## Identity
- **NPI:** 1023859436 (Entity type: Organization)
- **Enumerated:** June 3, 2024
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Woodhaven Behavioral LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jennifer Wood, CEO
## Practice location
- **Address:** 100 EXECUTIVE DR STE D, Lafayette, IN 47905-4863
- **Phone:** (765) 537-3880 · **Fax:** (765) 548-4332
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023859436) · Data from the CMS NPPES public registry.