Individual provider Active NPI

Jennifer L Koester, MSN, APRN, FNP-C

  • Family Medicine Physician
  • Lakeville, MA
National Provider Identifier
1407446909
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN2337272 Issued in MA
Practice address
5 Precinct St
Lakeville, MA 02347-1468
Phone
(508) 947-6666
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X RN2337272 MA Primary

Addresses

Primary practice location

5 Precinct St
Lakeville, MA 02347-1468

Mailing address

162 Bishop Hill Rd
Johnston, RI 02919-2826
Phone (815) 291-5637

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Johnston Direct

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
I20230109002029 MA Practitioner - Nurse Practitioner 9032589023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeville Family Medicine PC 2 clinicians

Practice addresses (Care Compare)

5 Precinct St
Lakeville, MA 02347-1468
Phone (508) 947-6666

Hospital & facility affiliations

  • Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeville Family Medicine PC Multi-Specialty CurrentSince Sep 7, 2022 Accepting new patients

Locations

5 Precinct St
Lakeville, MA 02347
Phone (508) 947-6666

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDACCD

Organizations & group practices 1

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 2

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1407446909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 BISHOP HILL RD",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029192826",
            "telephone_number": "815-291-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PRECINCT ST",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471468",
            "telephone_number": "508-947-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESTER",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "RN2337272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Johnston",
            "affiliation": "N",
            "endpointDescription": "Johnston",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "162 Bishop Hill Rd",
            "city": "Johnston",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029192826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeville, MA

Sources for this page

Verify at the official NPI Registry.