Individual provider Active NPI

Jordan Lynne Dewhurst, FNP-C

  • Nurse Practitioner
  • Concord, MA
National Provider Identifier
1154093391
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2337117 Issued in MA
Practice address
131 Old Road to 9 Acre Cor Ste 830
Concord, MA 01742-4191
Phone
(978) 371-1396
Fax
(978) 371-8277
NPI assigned
Oct 5, 2021
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X RN2337117 MA
Family Nurse Practitioner 363LF0000X RN2337117 MA
Nurse Practitioner 363L00000X RN2337117 MA Primary

Addresses

Primary practice location

131 Old Road to 9 Acre Cor Ste 830
Concord, MA 01742-4191

Mailing address

131 Old Road to 9 Acre Cor Ste 830
Concord, MA 01742-4191
Phone (978) 371-1396

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
I20211105001879 MA Practitioner - Nurse Practitioner 3173912532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A.F.a. Obstetrics and Gynecology, P.C.Group PAC ID 6406950542, 14 clinicians
Saint Vincent Physician Services IncGroup PAC ID 8921056276, 71 clinicians

Practice addresses (Care Compare)

131 Ornac
Suite 830
Concord, MA 01742-4191
Phone (978) 371-1396

9 Trolley Crossing Rd
Charlton, MA 01507-1351
Phone (508) 980-7055

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2337117MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Physician Services, Inc. Nurse Practitioner CurrentSince Oct 6, 2021 Accepting new patients

Locations

9 Trolley Crossing Rd
Charlton, MA 01507
Phone (508) 784-1278

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

123 Summer St
Ste 587
Worcester, MA 01608
Phone (508) 363-6470

Interoperability endpoints

  • Direct secure messaging: jordan.whitney.1@626.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1154093391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO 9 ACRE COR STE 830",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424191",
            "telephone_number": "978-371-1396",
            "fax_number": "978-371-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO 9 ACRE COR STE 830",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424191",
            "telephone_number": "978-371-1396",
            "fax_number": "978-371-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWHURST",
        "first_name": "JORDAN",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "RN2337117",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2337117",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2337117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.