Individual provider Active NPI

Jeannie Simeus

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, MA
National Provider Identifier
1053102095
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2306472 Issued in MA
Practice address
1017 Turnpike St Ste 32a
Canton, MA 02021-2853
Phone
(781) 236-7343
NPI assigned
May 16, 2025
Last updated
May 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 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 Practitioner 363LP0808X RN2306472 MA Primary

Addresses

Primary practice location

1017 Turnpike St Ste 32a
Canton, MA 02021-2853

Mailing address

1017 Turnpike St Ste 32a
Canton, MA 02021-2853
Phone (781) 236-7343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260205001534 MA Practitioner - Nurse Practitioner 7214416759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First-Class Behavioral and Counseling ServicesGroup PAC ID 5395128276, 11 clinicians

Practice addresses (Care Compare)

1017 Turnpike St
Suite 32a
Canton, MA 02021-2853
Phone (781) 236-7343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2306472MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First-Class Behavioral & Counseling Services Psychiatric/Mental Health CurrentSince Jan 28, 2026 Accepting new patients

Locations

1017 Turnpike St
#32A
Canton, MA 02021
Phone (781) 236-7343

1017 Turnpike St
Ste 32A
Canton, MA 02021
Phone (781) 236-7343

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, 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": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1053102095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 TURNPIKE ST STE 32A",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212853",
            "telephone_number": "781-236-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 TURNPIKE ST STE 32A",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212853",
            "telephone_number": "781-236-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMEUS",
        "first_name": "JEANNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2306472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

Verify at the official NPI Registry.