Individual provider Active NPI

Jessica Faith Carlin, RN, CPNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Buzzards Bay, MA
National Provider Identifier
1316071533
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN264613 Issued in MA
Practice address
243 Main St
Buzzards Bay, MA 02532-3229
Phone
(508) 743-5542
Fax
(508) 205-2057
NPI assigned
Mar 16, 2007
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X MD37471 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN264613 MA Primary

Addresses

Primary practice location

243 Main St
Buzzards Bay, MA 02532-3229

Mailing address

243 Main St
Buzzards Bay, MA 02532-3229
Phone (508) 743-5542

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
I20230831004328 MA Practitioner - Nurse Practitioner 0042385395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

243 Main St
Buzzards Bay, MA 02532-3229
Phone (508) 743-5542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
MD37471MAMDPediatric Nurse Practitioner
RN264613MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Raine LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

243 Main St
Buzzards Bay, MA 02532
Phone (508) 320-2482

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1316071533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 MAIN ST",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025323229",
            "telephone_number": "508-743-5542",
            "fax_number": "508-205-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 MAIN ST",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025323229",
            "telephone_number": "508-743-5542",
            "fax_number": "508-205-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLIN",
        "first_name": "JESSICA",
        "middle_name": "FAITH",
        "credential": "RN, CPNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "MD37471",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN264613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buzzards Bay, MA

Sources for this page

Verify at the official NPI Registry.