Individual provider Active NPI

Woudelyne Jean, CNP

  • Adult Health Nurse Practitioner
  • Stoughton, MA
National Provider Identifier
1023650660
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN284634 Issued in MA
Practice address
909 Sumner St
Stoughton, MA 02072-3396
Phone
(781) 297-8200
NPI assigned
Oct 15, 2019
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN284634 MA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, OH, IN, VA, WV5 enrollments
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 5

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

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN284634MAMDAdult Health Nurse Practitioner

Practice roles

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.