Individual provider Active NPI

Barbara Ann Stjohn, N.P.

  • Primary Care Nurse Practitioner
  • Wellesley, MA
National Provider Identifier
1275886285
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN236128 Issued in MA
Practice address
20 William St Ste G15
Wellesley, MA 02481-4102
Phone
(781) 591-4234
Fax
(781) 369-9737
NPI assigned
Oct 16, 2012
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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 RN236128 MA Primary

Addresses

Primary practice location

20 William St Ste G15
Wellesley, MA 02481-4102

Mailing address

20 William St Ste G15
Wellesley, MA 02481-4102
Phone (781) 591-4234

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
I20130117000332 MA Practitioner - Nurse Practitioner 8820241102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermwellesley LLCGroup PAC ID 1850644071, 9 clinicians

Practice addresses (Care Compare)

20 William St
Suite G15
Wellesley, MA 02481-4102
Phone (781) 591-4234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN236128MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermwellesley LLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

20 William St
Ste G15
Wellesley Hills, MA 02481
Phone (781) 591-4234

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1275886285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WILLIAM ST STE G15",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024814102",
            "telephone_number": "781-591-4234",
            "fax_number": "781-369-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WILLIAM ST STE G15",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024814102",
            "telephone_number": "781-591-4234",
            "fax_number": "781-369-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STJOHN",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN236128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.