Jessica B Libiszewski, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

251249 Issued in MA

Practice address

200 Center St
Ludlow, MA 01056-2772

Phone

(413) 589-7176

Fax

(413) 589-7710

NPI assigned

Aug 13, 2007

Last updated

Aug 13, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Gino Mercadante, P.C.Group PAC ID 4880667070, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baystate Medical Center Hospital, Springfield, MA, CCN 220077

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Dr. Gino Mercadante, P.C.

  • Internal Medicine Physician
  • Ludlow, MA
  • NPI 1285828939
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baystate Medical Center Inc

  dba Baystate Medical Center

  • General Acute Care Hospital
  • Springfield, MA
  • NPI 1487655064
  Care Compare affiliation
• Baystate Medical Center Inc

  dba Baystate Reference Laboratories

  • Clinical Medical Laboratory
  • Springfield, MA
  • NPI 1568488450

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1295927457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTER ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562772",
            "telephone_number": "413-589-7176",
            "fax_number": "413-589-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTER ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562772",
            "telephone_number": "413-589-7176",
            "fax_number": "413-589-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBISZEWSKI",
        "first_name": "JESSICA",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "251249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "251249",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Beth Lavalley
• Christopher M Lavoie, D.C.
• Rebecca Lynn Lebel, CPNP
• Nicole Leblanc
• Nikki Taylor Levitre
• Life Supply Corp
• Nickolas Linna, DO
• Morgan Grace Long, PA-C
• Lotus Dental PC
• Luann Loughlin, FNP

• Adult Health Nurse Practitioner in Ludlow, MA
• Providers in Ludlow, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.