Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Moore Kruse, PMHNP-BC

Individual provider Registered Nurse · NPI 1053925008

Jennifer Moore Kruse, PMHNP-BC is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2020, 6 years ago. Practices with Sjhmc Physician Services, a 665-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

500 W Thomas Rd Ste 230
Phoenix, AZ 85013-4245
Phone: (602) 406-9999
Fax: (602) 406-8099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 252973 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence RN198240 (AZ)

Record details

NPI number1053925008
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedSeptember 6, 2020
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sjhmc Physician Services — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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