Individual provider Active NPI

Jillian Jean Trimble, MSN, CNP, FNP-BC

  • Family Nurse Practitioner
  • Plymouth, MA
National Provider Identifier
1417475260
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2322072 Issued in MA
Practice address
47 Obery St Ste 1a
Plymouth, MA 02360-2230
Phone
(508) 747-4883
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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 RN2322072 MA Primary

Addresses

Primary practice location

47 Obery St Ste 1a
Plymouth, MA 02360-2230

Mailing address

47 Obery St Ste 1a
Plymouth, MA 02360-2230
Phone (508) 747-4883

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
I20220209000044 MA Practitioner - Nurse Practitioner 5991198244 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
South Shore Nephrology PCGroup PAC ID 2961469838, 5 clinicians

Practice addresses (Care Compare)

47 Obery St
Suite 1a
Plymouth, MA 02360-2230
Phone (508) 747-4883

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2322072MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Nephrology, P.C. CurrentSince Feb 15, 2022 Accepting new patients

Locations

47 Obery St
Ste 1A
Plymouth, MA 02360
Phone (508) 747-4883

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 6

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1417475260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 OBERY ST STE 1A",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602230",
            "telephone_number": "508-747-4883",
            "fax_number": "508-747-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 OBERY ST STE 1A",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602230",
            "telephone_number": "508-747-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "JILLIAN",
        "middle_name": "JEAN",
        "credential": "MSN, CNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2322072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.