Elsie Dieguez-Jackson, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN188728 Issued in MA

Practice address

3300 Main St FL 4
Springfield, MA 01107-1112

Phone

(413) 794-5555

Fax

(413) 794-7140

NPI assigned

Jun 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edieguezjackson39817@direct.chppoc.masshiway.net

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.

• Jackson Psychiatric Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Springfield, MA
  • NPI 1174353486
  Medicare reassignment NPD Authorized official
• Clinical & Support Options, Inc

  • Community/Behavioral Health Agency
  • Greenfield, MA
  • NPI 1831265115
  Medicare reassignment NPD
• Lifepoint Behavioral Health Physician Services LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Holyoke, MA
  • NPI 1851075378
  Medicare reassignment NPD
• Lifepoint Behavioral Health Physician Services LLC

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1427815554
  NPD

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1427627181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST FL 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MAIN ST FL 4",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071112",
            "telephone_number": "413-794-5555",
            "fax_number": "413-794-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEGUEZ-JACKSON",
        "first_name": "ELSIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN188728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Dicioccio
• Benjamin C. Dickert, DPM
• Kern Neil Dickinson, M.A.
• John Dickson, PHARMD
• Zayan Dickson
• Mary L Diehm
• Brianna Dietrich, MD
• Mikayla Marie Dietz
• Diane L Dietzen, MD
• Stephen Digiacomo, MD

• Psychiatric/Mental Health Nurse Practitioner in Springfield, MA
• Providers in Springfield, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.