Individual provider Active NPI

Jessica A Santiccioli, FNP

  • Family Medicine Physician
  • Needham, MA
National Provider Identifier
1003338088
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN2306669 Issued in MA
Practice address
145 Rosemary Street
Suite C
Needham, MA 02494-3259
Phone
(781) 235-7900
Fax
(781) 237-9930
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN2306669 MA Primary

Addresses

Primary practice location

145 Rosemary Street
Suite C
Needham, MA 02494-3259

Mailing address

145 Rosemary Street
Suite C
Needham, MA 02494-3259
Phone (781) 235-7900

Other practice location 1

63 Main St
Brockton, MA 02301-4042
Phone (508) 559-6699

Other identifiers 1

IdentifierTypeStateIssuer
110127465AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171028000356 MA Practitioner - Nurse Practitioner 7315213816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellesley Family Care Associates PCGroup PAC ID 5991861411, 21 clinicians
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

145 Rosemary St
Suite C
Needham, MA 02494-3259
Phone (781) 235-7900

93 Pond St
Sharon, MA 02067-2015
Phone (781) 784-9212

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care of Boston Management Corporation CurrentSince Sep 23, 2024 Accepting new patients
Newton Wellesley Hospital Current Accepting new patients
Wellesley Family Care Associates, PC Family Medicine CurrentSince May 24, 2025 Accepting new patients

Locations

1234 Hyde Park Ave
Ste 101
Hyde Park, MA 02136
Phone (617) 364-2420

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

Interoperability endpoints

  • Direct secure messaging: santiccioli.jessica.nwh@direct.partners.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1003338088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ROSEMARY STREET",
            "address_2": "SUITE C",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943259",
            "telephone_number": "781-235-7900",
            "fax_number": "781-237-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ROSEMARY STREET",
            "address_2": "SUITE C",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943259",
            "telephone_number": "781-235-7900",
            "fax_number": "781-237-9930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 Main St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023014042",
            "country_code": "US",
            "telephone_number": "508-559-6699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTICCIOLI",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "RN2306669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110127465A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.