Individual provider Active NPI

Jennifer R Bai, AGNP-BC

  • Adult Health Nurse Practitioner
  • Harwich, MA
National Provider Identifier
1407226160
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN2311919 Issued in MA
Practice address
525 Long Pond Dr
Harwich, MA 02645-1227
Phone
(917) 659-8300
NPI assigned
Oct 6, 2015
Last updated
Apr 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN2311919 MA Primary

Addresses

Primary practice location

525 Long Pond Dr
Harwich, MA 02645-1227

Mailing address

188 Summer Street
Unit 16
Weymouth, MA 02188-1139
Phone (917) 659-8300

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
I20170815003102 MA Practitioner - Nurse Practitioner 1951673649 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
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)

1177 Providence Hwy
Norwood, MA 02062
Phone (781) 440-7522

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2311919MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Mar 1, 2020 Accepting new patients
Atrius Health, Inc. CurrentSince Dec 2, 2019 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jun 26, 2017 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jun 26, 2017 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Mar 1, 2020 Accepting new patients
Atrius Health, Inc. CurrentSince Dec 2, 2019 Accepting new patients

Locations

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

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

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

525 Long Pond Dr
Harwich, MA 02645
Phone (508) 430-3311

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

Interoperability endpoints

  • Direct secure messaging: jbainp304231@direct.atrius.masshiway.net

Organizations & group practices 6

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": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1407226160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 SUMMER STREET",
            "address_2": "UNIT 16",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021881139",
            "telephone_number": "917-659-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 LONG POND DR",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026451227",
            "telephone_number": "917-659-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAI",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "AGNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2311919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harwich, MA

Sources for this page

Verify at the official NPI Registry.