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JENNIFER GAIL ROSS PMHNP-BC
NPI 1164083747
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA

Active since June 25, 2019PECOS EnrolledAccepts Medicare Assignment
72 JACQUES AVE, WORCESTER, MA 01610(508) 860-1000 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 16, 2025, May 9, 2022, Mar 3, 2020 and 1 more (4 updates tracked since 2020).

About Jennifer Gail Ross Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER GAIL ROSS PMHNP-BC (NPI 1164083747) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Massachusetts (RN2362912) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Novant Health Uva Health System Culpeper Med Cente, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164083747
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJENNIFER GAIL ROSSCredential: PMHNP-BC
Location Address72 JACQUES AVEWorcester, MA 01610-2476
Mailing Address130 W Van Dorn AveHolly Springs, MS 38635-2902 · (662) 274-3212 · Fax (662) 274-3213
Phone(508) 860-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 25, 2019
Last NPPES UpdateMay 16, 20254 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1164083747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MA · RN2362912✔ Licensed in MS · 903385
72 JACQUES AVE, Worcester, MA 01610
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1340 Stateline Rd WSouthaven, MS 38671-1610 · Phone (662) 510-5387
Location 2845 N Main St Ste L1BProvidence, RI 02904-5775 · Phone (401) 648-7172

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Gail Ross Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486083201
PECOS Enrollment IDI20220520001327
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Ross reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Koann Therapeutic Services Inc
35 mi
Psychiatric/Mental Health
845 N MAIN ST
Providence, RI 02904
  • Reassigned Medicare billing, Massachusetts enrollment
  • 3 clinicians in this Medicare group
NPI 1639843303 (401) 648-7172
Heartland Family Medical
1,082 mi
Family
130 W VAN DORN AVE
Holly Springs, MS 38635
  • Reassigned Medicare billing, Mississippi enrollment
  • 5 clinicians in this Medicare group
NPI 1376188391 (662) 274-3212

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490019
Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY HEALTH LINK
Clinic/Center (Primary Care)
72 JACQUES AVE
WORCESTER, MA 01610
Worcester County (508) 860-1247
MS. VIRGINIA GOMEZ RN
Registered Nurse
72 JACQUES AVE, HEALTH HOME DEPARTMENT
WORCESTER, MA 01610
Worcester County (508) 860-1282
KATHRYN OMA LOCANTORE MASTER'S LEVEL
Counselor (Professional)
72 JACQUES AVE
WORCESTER, MA 01610
Worcester County (774) 312-2410
STEPHEN BUNTING
Registered Nurse (Psychiatric/Mental Health)
72 JACQUES AVE
WORCESTER, MA 01610
Worcester County (774) 312-2444
NICOLE BOUCHER BCBA
Behavior Analyst
72 JACQUES AVE
WORCESTER, MA 01610
Worcester County (508) 421-4453
JULIE MILLER
Registered Nurse (Community Health)
72 JACQUES AVE
WORCESTER, MA 01610
Worcester County (774) 312-2411
MICHELLE BLACKMORE
Counselor (Mental Health)
72 JACQUES AVE
WORCESTER, MA 01610
Worcester County (508) 860-1045
JOLINA RAMEAU
Social Worker
72 JACQUES AVE
WORCESTER, MA 01610
Worcester County (508) 860-1000

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 Jennifer Ross's NPI number?

The NPI number for Jennifer Ross is 1164083747. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Where is Jennifer Ross located?

Jennifer Ross practices at 72 Jacques Ave, Worcester, MA 01610. The listed phone number is (508) 860-1000.

What is Jennifer Ross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jennifer Ross enrolled in Medicare?

Yes. Jennifer Ross is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jennifer Ross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Ross reassigns Medicare benefits to 2 organizations: Koann Therapeutic Services Inc (Providence, RI) and Heartland Family Medical (Holly Springs, MS). Each 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 Jennifer Ross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Ross accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Jennifer Ross as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jennifer Ross affiliated with any hospitals?

According to CMS data, Jennifer Ross is affiliated with Novant Health Uva Health System Culpeper Med Cente.

When was this NPI record last updated?

The NPPES record for Jennifer Ross was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.