Individual provider Active NPI

Susan Anne Jamieson, NP

  • Nurse Practitioner
  • North Chelmsford, MA
National Provider Identifier
1245306448
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN182212 Issued in MA
Practice address
20 Research PL Ste 310
North Chelmsford, MA 01863-2455
Phone
(617) 782-7788
Fax
(617) 783-5657
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 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 182212 MA
Nurse Practitioner 363L00000X RN182212 MA Primary

Addresses

Primary practice location

20 Research PL Ste 310
North Chelmsford, MA 01863-2455

Mailing address

20 Research PL Ste 310
North Chelmsford, MA 01863-2455
Phone (978) 459-2152

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
I20051129000960 MA Practitioner - Nurse Practitioner 8426078940 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LGH Professional Services LLCGroup PAC ID 8921364159, 10 clinicians

Practice addresses (Care Compare)

10 Erlin Ter
Tewksbury, MA 01876-2666
Phone (978) 851-3121

1081 Varnum Ave
Lowell, MA 01854-1131
Phone (978) 569-1071

11 Cascade Ave
Lowell, MA 01851-1613
Phone (978) 987-1170

19 Varnum St
Lowell, MA 01850-2132
Phone (978) 454-5644

20 Research PL
Suite 310
North Chelmsford, MA 01863-2455
Phone (978) 459-2152

40 Parkhurst Rd
Chelmsford, MA 01824-1513
Phone (978) 251-3151

981 Varnum Ave
Lowell, MA 01854-1913
Phone (978) 569-1000

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Wakefield, MA, CCN 227211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
182212MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
LGH Professional Services LLC CurrentSince Apr 1, 2018 Accepting new patients
Merrimack Valley Internal Medicine LTC CurrentSince Jul 1, 2026 Accepting new patients
Golden Years Geriatric Medicine CurrentSince Nov 18, 2024 Accepting new patients
Leo M Cass MDPC Past Accepting new patients
LGH Medical Group, Inc. Past Accepting new patients
Merrimack Valley Internal Medicine PastSince Jul 1, 2026 Accepting new patients

Locations

981 Varnum Ave
Lowell, MA 01854
Phone (978) 454-5681

20 Research Pl
Ste 310
North Chelmsford, MA 01863
Phone (978) 459-2152

20 Research Pl
North Chelmsford, MA 01863
Phone (978) 788-7200

Organizations & group practices 7

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 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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1245306448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL STE 310",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632455",
            "telephone_number": "978-459-2152",
            "fax_number": "978-452-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL STE 310",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632455",
            "telephone_number": "617-782-7788",
            "fax_number": "617-783-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMIESON",
        "first_name": "SUSAN",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "182212",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN182212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.