Woudelyne Jean, CNP
Individual provider Active NPI Adult Health Nurse Practitioner · Stoughton, MA
NPI 1023650660 · NPPES record last updated Dec 8, 2025
Key facts
- NPI
- 1023650660
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- RN284634 (MA)
- Practice address
- 909 Sumner St
Stoughton, MA 02072-3396 - Phone
- (781) 297-8200
- NPI assigned
- Oct 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 Dave Cowens Dr
Newport, KY 41071-4543
PO Box
Cincinnati, OH 45263
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in MA, OH, IN, VA, WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220420000964 | MA | Practitioner - Nurse Practitioner | 7719374842 | Reassigns benefits to 2 organizations |
| I20251216004697 | OH | Practitioner - Nurse Practitioner | 7719374842 | Reassigns benefits to 1 organization |
| I20260114000102 | IN | Practitioner - Nurse Practitioner | 7719374842 | Reassigns benefits to 1 organization |
| I20260216002492 | VA | Practitioner - Nurse Practitioner | 7719374842 | Reassigns benefits to 1 organization |
| I20260303000213 | WV | Practitioner - Nurse Practitioner | 7719374842 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN284634 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Around Health Solutions | Current | Accepting new patients | |
| Brockton Area Multi-Services, Inc. | Current |
Accepting new patients | |
| Northeast Health Services, LLC | Current |
Accepting new patients | |
| Post Acute Telehealth PC | Current |
Accepting new patients | |
| Whitman Counseling | Past | Accepting new patients | |
| Northeast Health Services | Past | Accepting new patients |
Locations
101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808
30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400
288 Bedford St
Whitman, MA 02382
Phone (781) 447-6425
8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547
287 E South Blvd
Petersburg, VA 23805
Phone (804) 562-6618
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN284634 | MA | Yes |
Addresses
Primary practice location
909 Sumner St
Stoughton, MA 02072-3396
Mailing address
56 Galen St
Brockton, MA 02302-3336
Phone (774) 274-2563
Other practice location 1
243 Church St
Pembroke, MA 02359-1962
Phone (781) 826-3838
NPI Registry JSON
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1023650660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 GALEN ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023023336",
"telephone_number": "774-274-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 SUMNER ST",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020723396",
"telephone_number": "781-297-8200"
}
],
"practiceLocations": [
{
"address_1": "243 Church St",
"address_purpose": "LOCATION",
"city": "Pembroke",
"state": "MA",
"postal_code": "023591962",
"country_code": "US",
"telephone_number": "781-826-3838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEAN",
"first_name": "WOUDELYNE",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-15",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "RN284634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stoughton, MA
- Daphne Jean Michel
- Marie Jean-Baptiste
- Rebecca Jean-Baptiste
- Gerline Jean
- Nathalie Jean
- Brianna Jeanty
- Jennifer Cardarelli LMHC, LLC
- Fabiola Jocelin
- Ashia Noelle Johnson-Merritt
- Jemimah Johnson
All providers in Stoughton, MA · Adult Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.