Commonwealth Primary Care Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

COMMONWEALTH PRIMARY CARE INC.

Practice address

365 Main St
Winthrop, MA 02152-1637

Phone

(617) 846-5352

Fax

(617) 846-1062

NPI assigned

Dec 1, 2023

Last updated

Dec 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeanne Holgersen, NPNPI 1326658790

Title

Nurse Practitioner

Phone

(617) 846-5352

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeanne Marie Holgersen

  • Primary Care Nurse Practitioner
  • Winthrop, MA
  • NPI 1326658790
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1417723263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MAIN ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521637",
            "telephone_number": "617-846-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MAIN ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521637",
            "telephone_number": "617-846-5352",
            "fax_number": "617-846-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PRIMARY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "HOLGERSEN",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "617-846-5352",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chatter and Chew Speech and Feeding Therapy PLLC
• Joseph Harold Ciampa, D.M.D.
• Click Clack Pediatrics LLC
• Barry Theodore Cohen, DDS
• Commonwealth Clinical Services, Inc.
• Paul Connor
• Hannah Elizabeth Connors
• Brendan Patrick Corcoran, D.C.
• Elena Ruxandra Cotulbea, M.D.
• John M Cross

• Primary Care Clinic/Center in Winthrop, MA
• Providers in Winthrop, MA by specialty
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.