Susan Jensen, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

2277692 Issued in MA

Practice address

100 Boston Rd
Suite F
Groton, MA 01450-1879

Phone

(978) 577-0437

Fax

(978) 448-6701

NPI assigned

Jul 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jensen.susan.epho@direct.partners.masshiway.net

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.

• Pediatrics West, PC

  • Pediatrics Physician
  • Westford, MA
  • NPI 1598850281

  MA

  Medicare reassignment NPD
• Emerson Hospital

  • General Acute Care Hospital
  • Concord, MA
  • NPI 1467587881
  NPD
• Specialty West PLLC

  • Allergy & Immunology Physician
  • Westford, MA
  • NPI 1518383538
  NPD (past)

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1013359900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 LITTLETON RD",
            "address_2": "SUITE 101",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863115",
            "telephone_number": "978-577-0437",
            "fax_number": "978-692-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BOSTON RD",
            "address_2": "SUITE F",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501879",
            "telephone_number": "978-577-0437",
            "fax_number": "978-448-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "2277692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred W. Heinser, MD
• Neven Henen
• Karen Hiltunen, MD
• Bradie Hutchinson
• Jay M. Decoteau, D.M.D., P.C.
• Jessica Hebert OT, LLC
• John P. Katzenberg
• Meredith Lee Julian, N.P.
• Monicah Kagungo, FNP
• Luciana M Killam

• All providers in Groton, MA
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.