Individual provider Active NPI

Mark Jean-Baptiste, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1033932116
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2318969 Issued in MA
Practice address
175 Portland St FL 3
Boston, MA 02114-1713
Phone
(857) 327-7720
Fax
(857) 327-9178
NPI assigned
Nov 6, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X RN2318969 MA Primary

Addresses

Primary practice location

175 Portland St FL 3
Boston, MA 02114-1713

Mailing address

175 Portland St FL 3
Boston, MA 02114-1713
Phone (857) 327-7720

Other practice location 1

599 Canal St Fl 6
Lawrence, MA 01840-1244
Phone (978) 770-5743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

C8 Shipway PL
Charlestown, MA 02129-4301

PO Box
Suite 16
Mashpee, MA 02649

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2318969MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whitley Wellness LLC Multi-Specialty CurrentSince Jun 17, 2025 Accepting new patients

Locations

175 Portland St
Fl 3
Boston, MA 02114
Phone (857) 327-7720

C8 Shipway Pl
Charlestown, MA 02129
Phone (325) 439-9799

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1033932116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 PORTLAND ST FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141713",
            "telephone_number": "857-327-7720",
            "fax_number": "857-327-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PORTLAND ST FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141713",
            "telephone_number": "857-327-7720",
            "fax_number": "857-327-9178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 Canal St Fl 6",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018401244",
            "country_code": "US",
            "telephone_number": "978-770-5743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN-BAPTISTE",
        "first_name": "MARK",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-06",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2318969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.