Individual provider Active NPI

Jillian Pearl Annese, MSN, FNP-C

  • Family Nurse Practitioner
  • Beverly, MA
National Provider Identifier
1285238246
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2321561 Issued in MA
Practice address
152 Conant St Ste 200
Beverly, MA 01915-1659
Phone
(978) 922-2226
Fax
(978) 922-2269
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2321561 MA Primary

Addresses

Primary practice location

152 Conant St Ste 200
Beverly, MA 01915-1659

Mailing address

152 Conant St Ste 200
Beverly, MA 01915-1659
Phone (978) 922-2226

Other practice location 1

30 New Crossing Rd Ste 207
Reading, MA 01867-3271
Phone (978) 922-2226

Other names 1

  • Jillian Pearl Malcolm Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jillian.annese.1@21341.direct.athenahealth.com Direct

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
I20210526003303 MA Practitioner - Nurse Practitioner 8224437066 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2321561MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Neurology & Emg LLC CurrentSince Feb 18, 2021 Accepting new patients
NS Neurology and Emg PastSince Apr 20, 2025 Accepting new patients

Locations

83 Herrick St
Ste 1001
Beverly, MA 01915
Phone (978) 921-1900

152 Conant St
Ste 200
Beverly, MA 01915
Phone (978) 922-2226

30 New Crossing Rd
Ste 207
Reading, MA 01867
Phone (781) 246-3500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21341/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jillian.annese.1@21341.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.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1285238246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 CONANT ST STE 200",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151659",
            "telephone_number": "978-922-2226",
            "fax_number": "978-922-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CONANT ST STE 200",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151659",
            "telephone_number": "978-922-2226",
            "fax_number": "978-922-2269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 New Crossing Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "MA",
            "postal_code": "018673271",
            "country_code": "US",
            "telephone_number": "978-922-2226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANNESE",
        "first_name": "JILLIAN",
        "middle_name": "PEARL",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2321561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jillian.annese.1@21341.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "152 Conant St Ste 200",
            "city": "Beverly",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019151659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "MALCOLM",
            "middle_name": "PEARL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.