Jennifer Marie Enderline

AG-ACNP | Nurse Practitioner - Acute Care | 7+ years Exp

169 Madison Ave Ste 2817, New York
  New York, 10016-5101
888-553-2823
Accepts Medicare Nurse Anesthetist in New York, New York.
Jennifer Marie Enderline is a New York, New York based nurse practitioner with 7 years of experience in Acute Care. She completed her graduation from Georgetown University School Of Medicine in 2018. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jennifer Marie Enderline is 220412 for Acute Care in Arizona. Her current practice location is 169 Madison Ave Ste 2817, New York. Patients can reach her at 888-553-2823 or can fax her at 888-553-2823. Jennifer Marie Enderline is AG-ACNP with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1356813653.
Jennifer Marie Enderline is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Jennifer Marie Enderline speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Jennifer Marie Enderline
Specialization: Acute Care Nurse Practitioner (ACNP)
Gender:Female
Credentials: AG-ACNP
Experience: 7+ years
Medical School Attended:Georgetown University School Of Medicine
Graduation Year:2018
Accepts Medicare Assignment:Yes
Practice Address:169 Madison Ave Ste 2817, New York,
New York, 10016-5101
Phone:888-553-2823
Fax:888-553-2823
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 5698009660
Enrollment ID: I20210804003846
NPI Number: 1356813653
NPI Enumeration Date: 26 Dec, 2018
NPI Last Update On: 20 Aug, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Marie Enderline are as mentioned below.
License NumberSpecializationStateStatus
220412Acute Care ArizonaPrimary
433088Acute Care New YorkSecondary
APRN11028038Acute Care FloridaSecondary
4704407614Acute Care MichiganSecondary
1141255Acute Care TexasSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(340030)Durham, NCAcute Care Hospital
(340073)Raleigh, NCAcute Care Hospital
(340155)Durham, NCAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Jennifer Marie Enderline is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Private Diagnostic Clinic, Pllc (1355254368)2230
Other Medical Identifiers:
Other legacy medical identifiers associated with Jennifer Marie Enderline such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1356813653MedicaidMichigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Jennifer Marie Enderline
169 Madison Ave Ste 2817,
New York, New York
Zip: 10016-5101
Phone Number: 888-553-2823
Fax Number: 888-553-2823
Patients can reach Jennifer Marie Enderline at 169 Madison Ave Ste 2817, New York, New York or can call to book an appointment on 888-553-2823.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.