Active NPI
Jane Tevnan, NP
- Adult Health Nurse Practitioner
- Millis, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 181950
- Practice address
- 730 Main St
Millis, MA 02054-1612 - Phone
- (508) 376-2515
- Fax
- (508) 376-9932
- NPI assigned
- May 7, 2008
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 181950 | MA | Primary |
Addresses
Primary practice location
730 Main St
Millis, MA 02054-1612
Mailing address
171 Main St Ste 203B
Ashland, MA 01721-1187
Phone (508) 881-3029
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110081232A | Medicaid | MA |
Other names 1
- Jane Tevnan Blanchard
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Tevnan.Jane.CRM@direct.partners.masshiway.net |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
730 Main St
Millis, MA 02054-1612
Phone (508) 376-2515
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181950 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles River Medical Associates PC | Current | Accepting new patients | |
| Golden Insight Inc | Current | Accepting new patients | |
| Charles River Medical Associates PC | Current | Accepting new patients |
Locations
171 Main St
Ste 203B
Ashland, MA 01721
Phone (508) 881-3029
600 Worcester Rd
Ste 504
Framingham, MA 01702
Phone (508) 875-0922
105 Webster St
Ste 8
Hanover, MA 02339
Phone (781) 312-7457
730 Main St
Millis, MA 02054
Phone (508) 376-2515
Interoperability endpoints
- tevnan.jane.crm@direct.partners.masshiway.net
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Framingham, MA
- NPI 1598215204
-
- Sports Medicine (Internal Medicine) Physician
- Northborough, MA
- NPI 1710495585
-
- Psychiatric/Mental Health Nurse Practitioner
- Hanover, MA
- NPI 1235711839
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Milford, MA
- NPI 1477527497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1407022619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 MAIN ST STE 203B",
"city": "ASHLAND",
"state": "MA",
"postal_code": "017211187",
"telephone_number": "508-881-3029",
"fax_number": "508-881-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 MAIN ST",
"city": "MILLIS",
"state": "MA",
"postal_code": "020541612",
"telephone_number": "508-376-2515",
"fax_number": "508-376-9932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEVNAN",
"first_name": "JANE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "181950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110081232A",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Tevnan.Jane.CRM@direct.partners.masshiway.net",
"affiliation": "N",
"address_1": "730 Main St",
"city": "Millis",
"state": "MA",
"country_code": "US",
"postal_code": "020541612",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JANE",
"last_name": "BLANCHARD",
"middle_name": "TEVNAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Millis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.