Individual provider Active NPI

Justine Deslauriers

  • Nurse Practitioner
  • South Hamilton, MA
National Provider Identifier
1265166979
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2340030 Issued in MA
Practice address
15 Railroad Ave
South Hamilton, MA 01982-2218
Phone
(978) 468-7381
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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 2340030 MA
Nurse Practitioner 363L00000X RN2340030 MA Primary

Addresses

Primary practice location

15 Railroad Ave
South Hamilton, MA 01982-2218

Mailing address

41 Mall Rd
Burlington, MA 01805-0002
Phone (978) 744-8085

Other practice location 1

41 Mall Rd
Burlington, MA 01805-2218
Phone (781) 744-8000

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
I20220922000538 MA Practitioner - Nurse Practitioner 4880079110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

250 Paradise Rd
Swampscott, MA 01907-2948
Phone (781) 596-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2340030MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Center, Inc. Current Accepting new patients
Atrius Health, Inc. Nurse Practitioner CurrentSince May 1, 2023 Accepting new patients
Atrius Health, Inc. Nurse Practitioner CurrentSince May 1, 2023 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince May 16, 2025 Accepting new patients
Atrius Health, Inc. Nurse Practitioner Current Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

2 Essex Dr
Peabody, MA 01960
Phone (978) 532-6111

250 Paradise Rd
Swampscott, MA 01907
Phone (781) 592-8462

Interoperability endpoints

  • Direct secure messaging: deslauriers.justine.nsmc@direct.partners.masshiway.net

Organizations & group practices 5

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 2

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1265166979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050002",
            "telephone_number": "978-744-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RAILROAD AVE",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019822218",
            "telephone_number": "978-468-7381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018052218",
            "country_code": "US",
            "telephone_number": "781-744-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESLAURIERS",
        "first_name": "JUSTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "2340030",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2340030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hamilton, MA

Sources for this page

Verify at the official NPI Registry.