Individual provider Active NPI

Jessica Ladner, NP

  • Primary Care Nurse Practitioner
  • Mashpee, MA
National Provider Identifier
1003595141
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2378772 Issued in MA
Practice address
5 Industrial Dr Ste 205
Mashpee, MA 02649-3465
Phone
(774) 238-2639
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2378772 MA
Primary Care Nurse Practitioner 363LP2300X RN2378772 MA Primary

Addresses

Primary practice location

5 Industrial Dr Ste 205
Mashpee, MA 02649-3465

Mailing address

5 Industrial Dr Ste 205
Mashpee, MA 02649-3465

Other names 1

  • Jessica Langley Former name

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
I20250807000543 MA Practitioner - Nurse Practitioner 2062910391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5 Industrial Dr
Mashpee, MA 02649-3464
Phone (774) 552-3210

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2378772MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jun 1, 2025 Accepting new patients

Locations

1 Trowbridge Rd
Bourne, MA 02532
Phone (508) 743-9563

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

5 Industrial Dr
Ste 205
Mashpee, MA 02649
Phone (774) 238-2639

5 Industrial Dr
Mashpee, MA 02649
Phone (508) 477-4282

Organizations & group practices 2

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1003595141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 INDUSTRIAL DR STE 205",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 INDUSTRIAL DR STE 205",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493465",
            "telephone_number": "774-238-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADNER",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2378772",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2378772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LANGLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mashpee, MA

Sources for this page

Verify at the official NPI Registry.