Individual provider Active NPI

Jenny W Wong, FNP-BC

  • Family Nurse Practitioner
  • East Bridgewater, MA
National Provider Identifier
1386993152
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN283594 Issued in MA
Practice address
1 Compass Way Ste 200
East Bridgewater, MA 02333-1464
Phone
(508) 350-2300
Fax
(508) 350-2309
NPI assigned
Sep 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN283594 MA Primary

Addresses

Primary practice location

1 Compass Way Ste 200
East Bridgewater, MA 02333-1464

Mailing address

362 N Bedford St
East Bridgewater, MA 02333-1148
Phone (508) 350-2300

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
I20121204000319 MA Practitioner - Nurse Practitioner 7911159652 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

500 Congress St
Suite 3C
Quincy, MA 02169-0927
Phone (617) 471-0033

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Atrius Health, Inc. Current Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 3, 2014 Accepting new patients
Atrius Health, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 3, 2014 Accepting new patients
Atrius Health, Inc. Past Accepting new patients

Locations

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

1 Compass Way
Ste 200
East Bridgewater, MA 02333
Phone (508) 350-2300

1 Donalds Way
Ste 210
East Bridgewater, MA 02333
Phone (508) 350-2300

1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100

362 N Bedford St
East Bridgewtr, MA 02333
Phone (508) 350-2350

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

500 Congress St
Ste 3C
Quincy, MA 02169
Phone (617) 471-0033

54 Miller St
Ste 200
Quincy, MA 02169
Phone (617) 481-3200

Interoperability endpoints

  • Direct secure messaging: jwongnp371315@direct.atrius.masshiway.net

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1386993152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 N BEDFORD ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331148",
            "telephone_number": "508-350-2300",
            "fax_number": "508-350-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMPASS WAY STE 200",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331464",
            "telephone_number": "508-350-2300",
            "fax_number": "508-350-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JENNY",
        "middle_name": "W",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN283594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.