Individual provider Active NPI

Jan M Hutton, FNP

  • Family Nurse Practitioner
  • Waltham, MA
National Provider Identifier
1336164870
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
232454 Issued in MA
Practice address
950 Winter St
4TH FL
Waltham, MA 02451-1424
Phone
(781) 419-8354
NPI assigned
Jul 13, 2006
Last updated
Jul 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 232454 MA Primary

Addresses

Primary practice location

950 Winter St
4TH FL
Waltham, MA 02451-1424

Mailing address

950 Winter St
4TH FL
Waltham, MA 02451-1424
Phone (781) 419-8354

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
I20060125000713 MA Practitioner - Nurse Practitioner 2961426226 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Management LLPGroup PAC ID 7214974708, 18 clinicians

Practice addresses (Care Compare)

105 Webster St
Suite 8
Hanover, MA 02339-1227
Phone (781) 754-6545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232454MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Insight Inc CurrentSince May 11, 2023 Accepting new patients
Revere Medical of Massachusetts, PC CurrentSince Nov 12, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 5, 2015 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 5, 2015 Accepting new patients
Pinnacle Health Management, LLP CurrentSince May 11, 2023 Accepting new patients
Atrius Health, Inc. Past Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients
Advance Eye Center, Inc. Past Accepting new patients
Jordan Physician Associates, Inc. Family Past Accepting new patients

Locations

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

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

1 Pearl St
Ste 2200
Brockton, MA 02301
Phone (508) 897-6150

191 Bedford St
Fall River, MA 02720
Phone (508) 235-5445

105 Webster St
Ste 8
Hanover, MA 02339
Phone (781) 312-7457

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

Interoperability endpoints

  • Direct secure messaging: jan.hutton.p1@direct.hhsi.nextgenshare.com
  • Direct secure messaging: jhutton817204@direct.ochin.org

Organizations & group practices 9

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1336164870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WINTER ST",
            "address_2": "4TH FL",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511424",
            "telephone_number": "781-419-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WINTER ST",
            "address_2": "4TH FL",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511424",
            "telephone_number": "781-419-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTON",
        "first_name": "JAN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "232454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.