Individual provider Active NPI

Jamie Lynn Macedo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mattapoisett, MA
National Provider Identifier
1467342584
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2265928 Issued in MA
Practice address
6 County Rd Ste 6
Mattapoisett, MA 02739-1585
Phone
(508) 202-0679
NPI assigned
Jul 9, 2025
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2265928 MA Primary

Addresses

Primary practice location

6 County Rd Ste 6
Mattapoisett, MA 02739-1585

Mailing address

8 County Rd Ste 6
Mattapoisett, MA 02739-1586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 15, 2026 through Apr 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN2265928MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Wellness, Inc. CurrentSince Jul 1, 2022 Accepting new patients

Locations

6 County Rd
Ste 6
Mattapoisett, MA 02739
Phone (508) 202-0679

8 County Rd
Ste 6
Mattapoisett, MA 02739
Phone (508) 202-0674

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1467342584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 COUNTY RD STE 6",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COUNTY RD STE 6",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391585",
            "telephone_number": "508-202-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEDO",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2265928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapoisett, MA

Sources for this page

Verify at the official NPI Registry.