Active NPI
Caitlin Phelps Jessel, PA-C
- Physician Assistant
- Rochester, NH
National Provider Identifier
1033363528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0702
- Practice address
- 11 Whitehall Rd
Rochester, NH 03867-3226 - Phone
- (603) 335-8171
- Fax
- (603) 335-8199
- NPI assigned
- Nov 10, 2008
- Last updated
- Mar 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1357 | ME | |
| Physician Assistant | 363A00000X | 0702 | NH | Primary |
Addresses
Primary practice location
11 Whitehall Rd
Rochester, NH 03867-3226
Mailing address
11 Whitehall Rd
Rochester, NH 03867-3226
Phone (603) 335-8171
Other practice location 1
789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-8787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3131840 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
789 Central Ave
Dover, NH 03820-2526
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Wentworth Douglass Hospital | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| Seacoast Gastroenterology | Past | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
62 13th St
Charlestown, MA 02129
Phone (617) 724-3874
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
121 Corporate Dr
Bldg C
Portsmouth, NH 03801
Phone (603) 740-8787
67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092
Interoperability endpoints
- caitlin.phelpsjessel@hca6.eclinicaldirectplus.com
- phelpsjessel.caitlin.wdh@direct.partners.masshiway.net
Organizations & group practices 7
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.
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
NH
-
- Gastroenterology Physician
- Portland, ME
- NPI 1508087289
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1528687829
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
-
- Gastroenterology Physician
- Exeter, NH
- NPI 1437109287
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1033363528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 WHITEHALL RD",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "038673226",
"telephone_number": "603-335-8171",
"fax_number": "603-335-8199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 WHITEHALL RD",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "038673226",
"telephone_number": "603-335-8171",
"fax_number": "603-335-8199"
}
],
"practiceLocations": [
{
"address_1": "789 Central Ave",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "NH",
"postal_code": "038202526",
"country_code": "US",
"telephone_number": "603-742-8787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHELPS JESSEL",
"first_name": "CAITLIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-10",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA1357",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "0702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3131840",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.