Janelle Bosse, PA-C
Individual provider Active NPI Physician Assistant · Warwick, RI
NPI 1235404146 · NPPES record last updated Sep 11, 2020
Key facts
- NPI
- 1235404146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA7588 (MA)
- Practice address
- 125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785 - Phone
- (401) 432-2520
- NPI assigned
- Mar 12, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mass General Brigham Medical Group Western Massachusetts Inc
Practice addresses (Care Compare)
10 Denniston PL
Womens Health
Northampton, MA 01060-2052
Phone (413) 586-9866
30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2441
Hospital & facility affiliations
- Cooley Dickinson Hospital Inc,the
- Brigham and Women'S Hospital
- Massachusetts General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201020000484 | MA | Practitioner - Physician Assistant | 5496906794 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA7588 | MA | MD | Physician Assistant |
| 0010-03691 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooley Dickinson Hospital Inc | Current |
Accepting new patients | |
| Hampshire Pathologists, Inc. | Current | Accepting new patients | |
| Cooley Dickinson Hospital Inc | Current |
Accepting new patients | |
| Mass General Brigham Medical Group Western Massachusetts Inc | Past | Accepting new patients | |
| Rex Hospital, Inc. | Past | Accepting new patients | |
| Rex Hospital Inc | Past | Accepting new patients |
Locations
30 Locust St
Northampton, MA 01060
Phone (413) 582-2000
Interoperability endpoints
- bosse.janelle.cdh@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-03691 | NC | |
| Physician Assistant | 363A00000X | PA00939 | RI | |
| Medical Physician Assistant | 363AM0700X | PA7588 | MA | |
| Surgical Physician Assistant | 363AS0400X | PA00939 | RI | |
| Surgical Physician Assistant | 363AS0400X | 0010-03691 | NC | |
| Physician Assistant | 363A00000X | PA7588 | MA | Yes |
Addresses
Primary practice location
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Mailing address
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone (401) 432-2520
Other practice location 1
4414 Lake Boone Trl
#108
Raleigh, NC 27607-7513
Phone (919) 784-2300
Other practice location 2
211 Park St
Attleboro, MA 02703-3143
Phone (508) 522-5200
Other providers in Warwick, RI
- Tara Mabel Brannon Bogs
- Bone Joint & Spine LLC
- Kayli Marie Bonenfant
- David Booth
- Bradley Borsay
- Hailey Bossio
- Lois R Botelho
- Richard Botelho
- Nicholas Alexander Bottella
- Melissa Bouchard
All providers in Warwick, RI · Physician Assistant in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.