Individual provider Active NPI

Janice Doris Sundnas, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • New Bedford, MA
National Provider Identifier
1285625673
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RN244451 Issued in MA
Practice address
543 North St
New Bedford, MA 02740-2782
Phone
(508) 973-2208
Fax
(508) 973-1225
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN244451 MA Primary

Addresses

Primary practice location

543 North St
New Bedford, MA 02740-2782

Mailing address

200 Mill Rd Ste 180
Fairhaven, MA 02719-5255
Phone (508) 973-2000

Other practice location 1

373 New Boston Rd
Fall River, MA 02720-5852
Phone (508) 679-0911

Other identifiers 2

IdentifierTypeStateIssuer
0394670MedicaidMA
NP4035OtherMABLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsundnas38709@direct.southcoast.org

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
I20041221000650 MA Practitioner - Nurse Practitioner 8224096342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

534 Prospect St
Fall River, MA 02720-5281
Phone (508) 973-7766

543 N St
New Bedford, MA 02740-2782
Phone (508) 973-2008

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN244451MAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Nov 22, 2016 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Nov 22, 2016 Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

235 Hanover St
Fall River, MA 02720
Phone (508) 646-9525

373 New Boston Rd
Fall River, MA 02720
Phone (508) 679-0054

373 New Boston Rd
Ste 2
Fall River, MA 02720
Phone (508) 679-0911

300 Hanover St
Ste 1F
Fall River, MA 02720
Phone (508) 973-8611

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

543 North St
New Bedford, MA 02740
Phone (508) 973-2208

Interoperability endpoints

  • Direct secure messaging: jsundnas38709@direct.southcoast.org

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.

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1285625673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD STE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195255",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 NORTH ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402782",
            "telephone_number": "508-973-2208",
            "fax_number": "508-973-1225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "373 New Boston Rd",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027205852",
            "country_code": "US",
            "telephone_number": "508-679-0911",
            "fax_number": "508-536-0310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDNAS",
        "first_name": "JANICE",
        "middle_name": "DORIS",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MA",
            "license": "RN244451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0394670",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "NP4035",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsundnas38709@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "543 North St",
            "city": "New Bedford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027402782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.