Individual provider Active NPI

Jessica A Duncan, NP-C

  • Primary Care Nurse Practitioner
  • Providence, RI
National Provider Identifier
1215304837
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN00729 Issued in RI
Practice address
180 Corliss St Ste B
Providence, RI 02904-2602
Phone
(401) 793-8400
Fax
(401) 793-8402
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN00729 RI Primary

Addresses

Primary practice location

180 Corliss St Ste B
Providence, RI 02904-2602

Mailing address

180 Corliss St Ste B
Providence, RI 02904-2602
Phone (401) 793-8400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.duncan.1@10.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20151116002252 RI Practitioner - Nurse Practitioner 0345550653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Gastroenterology, LLCGroup PAC ID 3678762804, 99 clinicians

Practice addresses (Care Compare)

33 Staniford St
Providence, RI 02905-3105
Phone (401) 421-8800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Gastroenterology, LLC CurrentSince Dec 23, 2024 Accepting new patients
Gastroenterology Associates Inc Past Accepting new patients

Locations

1407 S County Trl
Ste 410
East Greenwich, RI 02818
Phone (401) 886-4040

148 W River St
Ste 3
Providence, RI 02904
Phone (401) 274-1260

33 Staniford St
#2
Providence, RI 02905

44 W River St
Providence, RI 02904
Phone 4012744800201

33 Staniford St
Providence, RI 02905
Phone (401) 274-1810

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBICBD
  • Direct secure messaging: jessica.duncan.1@10.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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1215304837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CORLISS ST STE B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042602",
            "telephone_number": "401-793-8400",
            "fax_number": "401-793-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 CORLISS ST STE B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042602",
            "telephone_number": "401-793-8400",
            "fax_number": "401-793-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "RI",
            "license": "APRN00729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.duncan.1@10.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "180 Corliss St Ste B",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029042602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.