Jimmy Pacombe

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2326403 Issued in MA

Practice address

15 Beacon Ave
Norwood, MA 02062-2018

Phone

(781) 769-8674

NPI assigned

Feb 23, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

High Point Treatment Center IncGroup PAC ID 3779578174, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Day to Day Psychiatric Care & Wellness PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stoughton, MA
  • NPI 1518445378

  MA

  Medicare reassignment NPD Authorized official
• High Point Treatment Center Inc.

  • Counselor
  • New Bedford, MA
  • NPI 1518996354

  MA

  Medicare reassignment Care Compare group NPD
• All Care Homecare, LLC

  • Addiction Psychiatry Physician
  • New Bedford, MA
  • NPI 1841514122
  NPD

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1013214337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WASHINGTON ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264455",
            "telephone_number": "781-329-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BEACON AVE",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020622018",
            "telephone_number": "781-769-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACOMBE",
        "first_name": "JIMMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-23",
        "last_updated": "2022-10-20",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN85190",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2326403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Osei-Mensah
• Hua Ou, M.S., M.A.
• Mary Kathleen Owens, LMHC
• Melissa B PA'U, PHARMD, R.PH
• Diana Marie Pacella
• Rhonda Reuter Pais, LICSW
• Lori A. Paiva, DO
• Leigh Anne Palin
• Nathan Pallang
• Pallis Chiropractic Center PC

• All providers in Norwood, MA
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.