Individual provider Active NPI

Jacqueline L Meadows, NP

  • Family Nurse Practitioner
  • Bedford, NH
National Provider Identifier
1164481396
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0312952303 Issued in NH
Practice address
21 Eastman Ave
Bedford, NH 03110-6744
Phone
(603) 577-3003
Fax
(603) 577-3331
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 177806 MA
Family Nurse Practitioner 363LF0000X 0312952303 NH Primary

Addresses

Primary practice location

21 Eastman Ave
Bedford, NH 03110-6744

Mailing address

67 Norma Dr
Nashua, NH 03062-1348
Phone (603) 718-8728

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
I20041229000951 MA Practitioner - Nurse Practitioner 5991763435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

159 Wells Ave
Newton, MA 02459-3301
Phone (617) 243-6142

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
177806MAMDFamily Nurse Practitioner
0312952303NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Pain Management, LLC CurrentSince Oct 29, 2016 Accepting new patients
North Shore Pain Management CurrentSince Oct 29, 2016 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Apr 26, 2022 Accepting new patients
Anesthetics of Lowell, PC Past Accepting new patients
Centers for Pain Solutions,LLC Past Accepting new patients

Locations

900 Cummings Ctr
Ste 219T
Beverly, MA 01915

159 Wells Ave
Newton Centre, MA 02459
Phone (617) 243-5777

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

800 W Cummings Park
Ste 1200
Woburn, MA 01801
Phone (781) 330-0327

Interoperability endpoints

  • Direct secure messaging: meadows.jacqueline.nspm@direct.partners.masshiway.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1164481396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 NORMA DR",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621348",
            "telephone_number": "603-718-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 EASTMAN AVE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106744",
            "telephone_number": "603-577-3003",
            "fax_number": "603-577-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "JACQUELINE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "177806",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "0312952303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.