Jocelyn Michele Jenkins Bautista, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN2316993 Issued in MA

Practice address

1 Blackburn Dr
Gloucester, MA 01930-2292

Phone

(978) 281-1500

Fax

(978) 282-3611

NPI assigned

Jun 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Jocelyn Michele Jenkins Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cape Ann Medical Center LLC

  • Internal Medicine Physician
  • Gloucester, MA
  • NPI 1548682743
  Medicare reassignment NPD

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1386803666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BLACKBURN DR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302292",
            "telephone_number": "978-281-1500",
            "fax_number": "978-282-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLACKBURN DR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302292",
            "telephone_number": "978-281-1500",
            "fax_number": "978-282-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS BAUTISTA",
        "first_name": "JOCELYN",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2316993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN2316993",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOCELYN",
            "last_name": "JENKINS",
            "middle_name": "MICHELE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jay J Isaac, MD
• Jean Marie Isbell, RN
• Caleb Jackson, MA
• Eliha Jacobe, LIC.AC.
• James Noble
• Chrystal Jenkins
• Jennifer Joyce Noble
• Sara Elisabeth Jezowski
• Melissa SC Jones, DPT
• Zaven E Jouhourian, MD

• Adult Health Nurse Practitioner in Gloucester, MA
• Providers in Gloucester, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.