Individual provider Active NPI

Jamie Lusignan, FNP-BC

  • Family Nurse Practitioner
  • Brimfield, MA
National Provider Identifier
1417848383
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN279571 Issued in MA
Practice address
255 E Old Sturbridge Rd
Brimfield, MA 01010-9647
Phone
(413) 245-0966
Fax
(413) 245-4553
NPI assigned
Jul 10, 2025
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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 RN279571 MA Primary

Addresses

Primary practice location

255 E Old Sturbridge Rd
Brimfield, MA 01010-9647

Mailing address

30 Longfellow Rd
Worcester, MA 01602-2716
Phone (508) 688-2628

Other names 1

  • Ms. Jamie Dulmaine Former name

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
I20260203001154 MA Practitioner - Nurse Practitioner 3779061486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

255 E Old Sturbridge Rd
Brimfield, MA 01010-9647
Phone (413) 245-0966

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN279571MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group, Inc. CurrentSince Jan 28, 2026 Accepting new patients
Umass Memorial Medical Group Inc Past Accepting new patients

Locations

255 E Old Sturbridge Rd
Brimfield, MA 01010
Phone (413) 245-0966

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1417848383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LONGFELLOW RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022716",
            "telephone_number": "508-688-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E OLD STURBRIDGE RD",
            "city": "BRIMFIELD",
            "state": "MA",
            "postal_code": "010109647",
            "telephone_number": "413-245-0966",
            "fax_number": "413-245-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSIGNAN",
        "first_name": "JAMIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN279571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "DULMAINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brimfield, MA

Sources for this page

Verify at the official NPI Registry.