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

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.

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
RN284634MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All Around Health Solutions Current Accepting new patients
Brockton Area Multi-Services, Inc. Current
since Jan 4, 2023
Accepting new patients
Northeast Health Services, LLC Current
since Apr 1, 2022
Accepting new patients
Post Acute Telehealth PC Current
since Nov 19, 2025
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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 8, 2025.

{
    "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

All providers in Stoughton, MA · Adult Health Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.