Individual provider

Jaclyn Fennell, RN, AGNP-C

Adult Health Nurse Practitioner Medicare enrolled

Jaclyn Fennell, RN, AGNP-C is an Adult Health Nurse Practitioner in Manchester, NH, registered under NPI 1770191959.

Getting there

The practice address on file is 100 MCGREGOR ST, Manchester, NH 03102. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

100 MCGREGOR ST, Manchester, NH 03102 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
092675-23 NH Adult Health Nurse Practitioner primary
RN2288964 MA Adult Health Nurse Practitioner

Licences are recorded in 2 states: NH, MA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
3375954142
Enrollment ID
I20231211002710

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Massachusetts and New Hampshire. The practice address on file is in Manchester, NH, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MA Massachusetts
Licence
RN2288964
Specialty
Adult Health Nurse Practitioner
Verify with the MA board →
NH New Hampshire practice address
Licence
092675-23
Specialty
Adult Health Nurse Practitioner
Verify with the NH board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Adult Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LA2200X Adult Health Nurse Practitioner Adult Health 092675-23 NH primary
363LA2200X Adult Health Nurse Practitioner Adult Health RN2288964 MA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1770191959 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 14, 2020
Last updatedDec 4, 2023
StatusActive
Sole proprietorNo
CredentialRN, AGNP-C
Practice address 100 MCGREGOR ST
Manchester, NH 03102
(603) 663-5310
Mailing address 3 HAWSER LN
Swampscott, MA 01907
This record was updated on Dec 4, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1770191959 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 7 0 1 9 1 9 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 5 0 2 9 2 9 1

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1770191959?
NPI 1770191959 is the National Provider Identifier assigned to Jaclyn Fennell, RN, AGNP-C in Manchester, NH. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adult Health cover?
Definition to come...
How do I contact Jaclyn Fennell, RN, AGNP-C?
The phone number on file with NPPES is (603) 663-5310, last updated Dec 4, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jaclyn Fennell, RN, AGNP-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1770191959 a valid number?
Yes. 1770191959 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.