Individual provider Active NPI

Jaqueline Olympio Dasilva, FNP

  • Primary Care Nurse Practitioner
  • Falmouth, MA
National Provider Identifier
1376291260
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2327121 Issued in MA
Practice address
100 Ter Heun Dr
Falmouth, MA 02540-2599
Phone
(508) 548-5300
NPI assigned
Mar 10, 2022
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN2327121 MA
Primary Care Nurse Practitioner 363LP2300X RN2327121 MA Primary

Addresses

Primary practice location

100 Ter Heun Dr
Falmouth, MA 02540-2599

Mailing address

100 Ter Heun Dr
Falmouth, MA 02540-2599
Phone (508) 548-5300

Other practice location 1

5 Bramble Bush Dr
Falmouth, MA 02540-2325
Phone (508) 495-8300

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
I20231025001350 MA Practitioner - Nurse Practitioner 4284080433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
76.23 of 100Reported as group
Quality
56.78
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Physicians of Falmouth Hospital CurrentSince Nov 1, 2023 Accepting new patients

Locations

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

21 Bramble Bush Dr
Falmouth, MA 02540
Phone (508) 495-5160

5 Bramble Bush Dr
Falmouth, MA 02540
Phone (508) 495-8300

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

Organizations & group practices 3

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": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1376291260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TER HEUN DR",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402599",
            "telephone_number": "508-548-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TER HEUN DR",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402599",
            "telephone_number": "508-548-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Bramble Bush Dr",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "MA",
            "postal_code": "025402325",
            "country_code": "US",
            "telephone_number": "508-495-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASILVA",
        "first_name": "JAQUELINE",
        "middle_name": "OLYMPIO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN2327121",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2327121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

Verify at the official NPI Registry.