Individual provider Active NPI

Jamie L Powers

  • Family Nurse Practitioner
  • Stoneham, MA
National Provider Identifier
1184265381
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2321546 Issued in MA
Practice address
3 Woodland Rd Ste 322
Stoneham, MA 02180-1713
Phone
(781) 523-5094
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2321546 MA
Family Nurse Practitioner 363LF0000X RN2321546 MA Primary

Addresses

Primary practice location

3 Woodland Rd Ste 322
Stoneham, MA 02180-1713

Mailing address

149 Greenwood St
Wakefield, MA 01880-4070
Phone (781) 540-1560

Other identifiers 1

IdentifierTypeStateIssuer
110157824AMedicaidMA

Other names 1

  • Jamie L Moore Professional name

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
I20200409002226 MA Practitioner - Nurse Practitioner 1951730142 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Pain Management, LLC CurrentSince Sep 14, 2020 Accepting new patients
North Shore Pain Management CurrentSince Sep 14, 2020 Accepting new patients
North Shore Anesthesia, LLC Past Accepting new patients

Locations

900 Cummings Ctr
Ste 219T
Beverly, MA 01915

900 Cummings Ctr
Ste 221U
Beverly, MA 01915
Phone (978) 927-7246

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

Interoperability endpoints

  • Direct secure messaging: powers.jamie.nspm@direct.partners.masshiway.net

Organizations & group practices 3

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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1184265381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 GREENWOOD ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018804070",
            "telephone_number": "781-540-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD STE 322",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801713",
            "telephone_number": "781-523-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "JAMIE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2321546",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2321546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110157824A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "MOORE",
            "middle_name": "L",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.