Individual provider Active NPI

Jesenia Marie Raposa, DNP, FNP-BC

  • Family Nurse Practitioner
  • New Bedford, MA
National Provider Identifier
1194458695
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2270253 Issued in MA
Practice address
45 Brigham St # 1
New Bedford, MA 02740-2207
Phone
(177) 432-8428
NPI assigned
Jul 3, 2022
Last updated
Nov 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WG0000X RN2270253 MA
Family Nurse Practitioner 363LF0000X RN2270253 MA Primary

Addresses

Primary practice location

45 Brigham St # 1
New Bedford, MA 02740-2207

Mailing address

45 Brigham St # 1
New Bedford, MA 02740-2207
Phone (177) 432-8428

Other names 1

  • Jesenia Marie Navedo Former 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
I20250314000493 MA Practitioner - Nurse Practitioner 3971025354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Premier Healthcare Services LLCGroup PAC ID 9931442381, 12 clinicians

Practice addresses (Care Compare)

7 Schooner CT
New Bedford, MA 02745-1033
Phone (774) 644-9320

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Healthcare Services, LLC Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
Premier Healthcare Services, LLC Single Specialty PastSince Mar 1, 2025 Accepting new patients

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 1

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": "1656806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1194458695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BRIGHAM ST # 1",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402207",
            "telephone_number": "177-432-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 BRIGHAM ST # 1",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402207",
            "telephone_number": "177-432-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPOSA",
        "first_name": "JESENIA",
        "middle_name": "MARIE",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-03",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "MA",
            "license": "RN2270253",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2270253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESENIA",
            "last_name": "NAVEDO",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.