Jaclyn L. Fennell, RN, AGNP-C
NPI 1770191959ActiveIndividual· Nurse Practitioner, Adult Health· Manchester, NH
Nurse Practitioner, Adult Health (RN, AGNP-C) with Mary Hitchcock Memorial Hospital, practicing in Manchester, New Hampshire. Their prescriptions cost Medicare Part D more than their services did: $19,711 for 218 claims, against $7,732 paid for services in 2024. Genmab U.S., Inc. reported $99.91 in payments in 2025, mostly food and beverage. Lists Catholic Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1770191959 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN, AGNP-C |
| Sole proprietor | No |
| NPI issued | Jul 14, 2020 |
| Last updated in NPPES | Dec 4, 2023 |
| Certified by provider | Dec 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 092675-23 | NH |
| Nurse Practitioner, Adult Health | 363LA2200X | RN2288964 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 88 |
|---|---|
| Services billed | 115 across 6 procedure codes |
| Paid by Medicare | $7,732 |
Part D prescriptions in 2024
| Prescriptions (claims) | 218 · 385 30-day fills |
|---|---|
| Patients | 88 |
| Total drug cost | $19,711 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Mary Hitchcock Memorial HospitalManchester, NH · 1,280 clinicians
Hospital affiliations
- Catholic Medical CenterManchester, NH
- Elliot HospitalManchester, NH
- Mary Hitchcock Memorial HospitalLebanon, NH
Industry payments (Open Payments)
- 2025$99.91 · 1 payment from 1 company
- 2024$97.29 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Genmab U.S., Inc. | $99.91 | 1 |
What the 2025 payments were for
- Food and Beverage$99.91 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 23 adult health nurse practitioners in Manchester · All adult health nurse practitioners in New Hampshire