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

MS. Kristen Ennis, FNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1689006272

MS. Kristen Ennis, FNP-C is a Nurse Practitioner in Hackensack, New Jersey. Qualified in 2013, 13 years ago. Practices with Rutgers Health-Rwj Scleroderma Program, a 387-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
13
Licensed in
NJ
In the registry since
2013
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-4078
Fax: (551) 996-4140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1945 Route 33, Neptune, NJ 07753-4859 — (732) 775-5500

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00453200 (NJ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 26NJ00453200 (NJ)

Record details

NPI number1689006272
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 6, 2013
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Rutgers Health-Rwj Scleroderma Program — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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