Individual provider Active NPI

Jubie Vinu

  • Nurse Practitioner
  • Lowell, MA
National Provider Identifier
1316375512
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN268572 Issued in MA
Practice address
10 George St Ste 300
Lowell, MA 01852-2293
Phone
(978) 687-2321
Fax
(978) 722-7287
NPI assigned
Oct 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN268572 MA
Nurse Practitioner 363L00000X RN268572 MA Primary

Addresses

Primary practice location

10 George St Ste 300
Lowell, MA 01852-2293

Mailing address

354 Merrimack St Ste 1
Lawrence, MA 01843-1755
Phone (978) 687-2321

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
I20140423000160 MA Practitioner - Nurse Practitioner 1456583624 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LGH Medical Group, Inc.Group PAC ID 3173626751, 165 clinicians

Practice addresses (Care Compare)

234 Littleton Rd
Suite D
Westford, MA 01886-3596
Phone (978) 687-2321

25 Fletcher St
Suite 1
Chelmsford, MA 01824-2746
Phone (978) 687-2321

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 788-7344

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN268572MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LGH Medical Group, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Massachusetts Acute Care Specialists PC CurrentSince Jul 26, 2017 Accepting new patients
Ipc Hospitalists of New England, P.C. Nurse Practitioner CurrentSince Jul 26, 2017 Accepting new patients
Ipc Hospitalists of New England PC Nurse Practitioner CurrentSince Jul 26, 2017 Accepting new patients
Ipc Hospitalists of New England, P.C. Nurse Practitioner Current Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

25 Fletcher St
Chelmsford, MA 01824
Phone (978) 253-4315

354 Merrimack St
Ste 1
Lawrence, MA 01843

354 Merrimack St
Lawrence, MA 01843
Phone (978) 688-3898

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

67 Union St
Natick, MA 01760
Phone (508) 383-1104

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222

234 Littleton Rd
Ste 2D
Westford, MA 01886
Phone (978) 392-1900

168 Kinsley St
Ste 1
Nashua, NH 03060
Phone (603) 882-2114

Interoperability endpoints

  • Direct secure messaging: jvinu46951@tuftsmedicine.direct-ci.com

Organizations & group practices 6

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 2

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": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1316375512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST STE 1",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431755",
            "telephone_number": "978-687-2321",
            "fax_number": "978-722-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GEORGE ST STE 300",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522293",
            "telephone_number": "978-687-2321",
            "fax_number": "978-722-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINU",
        "first_name": "JUBIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN268572",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN268572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.