MRS. JACLYN L FENNELL RN, AGNP-C
NPI 1770191959
Nurse Practitioner - Adult Health in Manchester, NH

Q: What is Jaclyn Fennell's NPI number?

The NPI number for Jaclyn Fennell is 1770191959. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Q: What is Jaclyn Fennell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Fennell was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since July 14, 2020PECOS EnrolledAccepts Medicare Assignment

100 MCGREGOR ST, MANCHESTER, NH 03102(603) 663-5310 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 4, 2023, Nov 24, 2023, Jul 14, 2020 (3 updates tracked since 2020).

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About Mrs. Jaclyn L Fennell Rn, Agnp-c NPPES

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

MRS. JACLYN L FENNELL RN, AGNP-C (NPI 1770191959) is an individual adult health provider in Manchester, New Hampshire, licensed in New Hampshire (092675-23) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and maintains a secondary practice location in Swampscott.

NPPES Registry Identity

NPI1770191959

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. JACLYN L FENNELLCredential: RN, AGNP-C

Location Address100 MCGREGOR STManchester, NH 03102-3730

Mailing Address3 Hawser LnSwampscott, MA 01907-1238 · (508) 320-8819

Phone(603) 663-5310

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 14, 2020

Last NPPES UpdateDecember 4, 20233 updates tracked since enumeration

NPPES CertifiedDecember 4, 2023

✔ NPI 1770191959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in NH · 092675-23✔ Licensed in MA · RN2288964

100 MCGREGOR ST, Manchester, NH 03102

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Secondary Practice Location 1

Location 13 Hawser LnSwampscott, MA 01907-1238 · Phone (508) 320-8819

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jaclyn L Fennell Rn, Agnp-c 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 ID3375954142

PECOS Enrollment IDI20231211002710

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.

Areas of Expertise CMS Part B claims 3

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 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.

55 services48 patients

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.

27 services25 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

26 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300003

Location1 Medical Center DriveLebanon, NH 03756 · Grafton County

Emergency services Birthing friendly

Elliot Hospital

Acute Care Hospitals · Manchester, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300012

Location1 Elliot WayManchester, NH 03103 · Hillsborough County

Emergency services Birthing friendly

Catholic Medical Center

Acute Care Hospitals · Manchester, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300034

Location100 Mcgregor StreetManchester, NH 03102 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03102 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

$89.14 typical visit price

range $57.75 – $174.26

Typical copayment $22.28 (range $14.43 – $43.56)

Most-billed visit code 99203

Established Patient

$101.54 typical visit price

range $18.70 – $142.15

Typical copayment $25.38 (range $4.67 – $35.53)

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 20

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

CATHOLIC MEDICAL CENTER

Anesthesiology