Individual provider Active NPI

Jennifer Fusco, APRN, FNP-BC

  • Primary Care Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1316516537
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2340583 Issued in MA
Practice address
1 Pearl St Ste 2100
Brockton, MA 02301-2868
Phone
(508) 897-6040
NPI assigned
Jun 22, 2021
Last updated
Feb 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2340583 MA
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X RN2340583 MA Primary

Addresses

Primary practice location

1 Pearl St Ste 2100
Brockton, MA 02301-2868

Mailing address

1 Pearl St Ste 2100
Brockton, MA 02301-2868
Phone (508) 897-6040

Other practice location 1

235 Wellesley St Ste 1
Weston, MA 02493-1571
Phone (781) 878-0431

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
I20220302002990 MA Practitioner - Nurse Practitioner 7911391214 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbor Medical Associates IncGroup PAC ID 2466356209, 130 clinicians

Practice addresses (Care Compare)

15 Corporate Park Dr
Pembroke, MA 02359-1966
Phone (781) 826-8065

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2340583MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women's Hospital Current Accepting new patients
Harbor Medical Associates, Inc. Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
Steward Medical Group, Inc Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Steward Medical Group, Inc Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Regis College PastSince Jun 1, 2021 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1 Pearl St
Ste 1400
Brockton, MA 02301
Phone (508) 897-6030

1 Pearl St
Ste 2100
Brockton, MA 02301
Phone (508) 897-6040

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

15 Corporate Park Dr
Pembroke, MA 02359
Phone (781) 826-8065

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

Interoperability endpoints

  • Direct secure messaging: fusco.jennifer.bwh@direct.partners.masshiway.net

Organizations & group practices 7

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.

Hospital & facility affiliations 9

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1316516537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PEARL ST STE 2100",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012868",
            "telephone_number": "508-897-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PEARL ST STE 2100",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012868",
            "telephone_number": "508-897-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Wellesley St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "MA",
            "postal_code": "024931571",
            "country_code": "US",
            "telephone_number": "781-878-0431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUSCO",
        "first_name": "JENNIFER",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2340583",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2340583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.