Individual provider Active NPI

Jennifer Chiasson, CNP

  • Nurse Practitioner
  • Rockland, MA
National Provider Identifier
1356936058
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2298678 Issued in MA
Practice address
30 Reservoir Park Dr
Rockland, MA 02370-1055
Phone
(781) 624-8000
NPI assigned
Mar 4, 2021
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Old Colony Hospice Inc. CurrentSince Jan 10, 2023 Accepting new patients
Old Colony Hospice Inc CurrentSince Apr 6, 2023 Accepting new patients

Locations

321 Manley St
West Bridgewater, MA 02379
Phone (781) 341-4145

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X RN2298678 MA
Nurse Practitioner 363L00000X RN2298678 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

30 Reservoir Park Dr
Rockland, MA 02370-1055

Mailing address

51 Maple St Unit 119
Rockland, MA 02370-2357
Phone (781) 812-5735

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2022.

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1356936058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MAPLE ST UNIT 119",
            "city": "ROCKLAND",
            "state": "MA",
            "postal_code": "023702357",
            "telephone_number": "781-812-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 RESERVOIR PARK DR",
            "city": "ROCKLAND",
            "state": "MA",
            "postal_code": "023701055",
            "telephone_number": "781-624-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIASSON",
        "first_name": "JENNIFER",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MA",
            "license": "RN2298678",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2298678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, MA

Sources for this page

Verify at the official NPI Registry.