Individual provider Active NPI

Jessica Ann Lynch, A.N.P.-B.C

  • Adult Health Nurse Practitioner
  • Stoneham, MA
National Provider Identifier
1356617047
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN284698 Issued in MA
Practice address
88 Montvale Ave
Stoneham, MA 02180-3643
Phone
(781) 481-9255
Fax
(781) 481-9257
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN284698 MA Primary

Addresses

Primary practice location

88 Montvale Ave
Stoneham, MA 02180-3643

Mailing address

PO Box 760
Winchester, MA 01890-4260
Phone (781) 756-7273

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
I20120629000024 MA Practitioner - Nurse Practitioner 1254596067 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Physician Associates, Inc CurrentSince Jun 4, 2018 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Nov 21, 2019 Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

88 Montvale Ave
Stoneham, MA 02180
Phone (781) 481-9255

Interoperability endpoints

  • Direct secure messaging: lynch.jessica.nsmc@direct.partners.masshiway.net

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1356617047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018904260",
            "telephone_number": "781-756-7273",
            "fax_number": "781-721-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MONTVALE AVE",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803643",
            "telephone_number": "781-481-9255",
            "fax_number": "781-481-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "A.N.P.-B.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN284698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.