Jessica Brens
Individual provider Active NPI Family Nurse Practitioner · Foxborough, MA
NPI 1316425481 · NPPES record last updated Oct 26, 2022
Key facts
- NPI
- 1316425481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN2337043 (MA)
- Practice address
- 22 Patriot PL
Foxborough, MA 02035-1375 - Phone
- (508) 543-1700
- Fax
- (508) 543-1956
- NPI assigned
- Aug 1, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mskcc Surgery Group
Practice addresses (Care Compare)
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
Hospital & facility affiliations
- Memorial Hospital for Cancer and Allied Diseases
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200805002471 | NY | Practitioner - Nurse Practitioner | 2365867587 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana-Farber Cancer Institute, Inc. | Past |
Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- jbrens19155@mskcc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2337043 | MA | Yes |
Addresses
Primary practice location
22 Patriot PL
Foxborough, MA 02035-1375
Mailing address
22 Patriot PL
Foxborough, MA 02035-1375
Phone (508) 543-1700
Other providers in Foxborough, MA
- Meghan Julia Beargeon
- Lindsay Jane Beise
- Han Bertrand
- BL Healthcare, Inc.
- Board Certified Footcare,LLC
- Brigham & Womens Physicians Organization Inc
- Brigham and Women'S Health Care Center
- Danielle L Brook
- Kristian Bryant
- Katrina Burkhardt
All providers in Foxborough, MA · Family Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.