Individual provider Active NPI

Jeanne Marie Holgersen

  • Primary Care Nurse Practitioner
  • Winthrop, MA
National Provider Identifier
1326658790
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2291455 Issued in MA
Practice address
365 Main St
Winthrop, MA 02152-1637
Phone
(617) 846-5352
Fax
(617) 846-1062
NPI assigned
Jul 31, 2020
Last updated
Nov 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN2291455 MA Primary

Addresses

Primary practice location

365 Main St
Winthrop, MA 02152-1637

Mailing address

365 Main St
Winthrop, MA 02152-1637
Phone (617) 846-5352

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
I20201119002648 MA Practitioner - Nurse Practitioner 9931469160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

365 Main St
Winthrop, MA 02152-1637
Phone (617) 846-5352

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2291455MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Primary Care Inc. CurrentSince Feb 1, 2024 Accepting new patients
Commonwealth Clinical Services, Inc. PastSince Aug 2, 2020 Accepting new patients

Locations

365 Main St
Winthrop, MA 02152
Phone (617) 846-5352

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Commonwealth Clinical Services, Inc.Winthrop, MA, CCN 227498 Home health agency Corporate Officer
Corporate Director
Apr 16, 2016
Apr 16, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 5

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": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763251200000",
    "number": "1326658790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MAIN ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521637",
            "telephone_number": "617-846-5352",
            "fax_number": "617-846-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MAIN ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521637",
            "telephone_number": "617-846-5352",
            "fax_number": "617-846-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLGERSEN",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2291455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop, MA

Sources for this page

Verify at the official NPI Registry.