Active NPI
Jeanne M Rousseau, D.O.
- Family Medicine Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 79383
- Practice address
- 26 Queen Street
Worcester, MA 01610-2473 - Phone
- (508) 860-7777
- Fax
- (508) 860-7055
- NPI assigned
- Nov 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 79383 | MA | Primary |
Addresses
Primary practice location
26 Queen Street
Worcester, MA 01610-2473
Mailing address
26 Queen Street
Worcester, MA 01610-2473
Phone (508) 860-7962
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3126749 | Medicaid | MA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of New England, College of Osteo Medicine, 1990
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
26 Queen St
Worcester, MA 01610-2473
Phone (508) 860-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79383 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Center of Worcester, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Raymond Zhou MD PC | Current | Accepting new patients | |
| Family Health Center of Worcester, Inc. | Current | Accepting new patients |
Locations
105 E Main St
Milford, MA 01757
Phone (508) 381-2740
415 Boston Tpke
Ste 105
Shrewsbury, MA 01545
Phone (508) 845-8200
291 Lincoln St
Ste 302
Worcester, MA 01605
Phone (508) 792-1413
291 Lincoln St
Ste 105
Worcester, MA 01605
Phone (508) 752-0121
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
26 Queen St
Worcester, MA 01610
Phone (508) 860-7700
330 Grove St
Worcester, MA 01605
Phone (508) 232-7555
Interoperability endpoints
- jrousseau47799@direct.ctc.masshiway.net
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Worcester, MA
- NPI 1841200664
-
- Internal Medicine Physician
- Shrewsbury, MA
- NPI 1831268820
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Family Medicine
-
- Clinic Pharmacy
- Worcester, MA
- NPI 1447399225
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1366425035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 QUEEN STREET",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016102473",
"telephone_number": "508-860-7962",
"fax_number": "508-796-7014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 QUEEN STREET",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016102473",
"telephone_number": "508-860-7777",
"fax_number": "508-860-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSSEAU",
"first_name": "JEANNE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-27",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "79383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3126749",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.