Active NPI
Jessica Leblanc, FNP - C
- Family Nurse Practitioner
- Gardner, MA
National Provider Identifier
1467964288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2267254
- Practice address
- 242 Green St
Gardner, MA 01440-1336 - Phone
- (978) 669-5684
- NPI assigned
- Nov 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2267254 | MA | Primary |
Addresses
Primary practice location
242 Green St
Gardner, MA 01440-1336
Mailing address
139 Dorset Rd
Athol, MA 01331-3250
Phone (978) 857-5811
Other names 1
- Jessica Polana
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2033 Main St
Athol, MA 01331-3535
Phone (978) 249-3511
250 Green St
Gardner, MA 01440-1396
Phone (978) 630-6460
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heywood Medical Group Inc | Current | Accepting new patients | |
| Heywood Medical Group Inc. | Family | Current | Accepting new patients |
| Henry Heywood Memorial Hospital | Family | Current | Accepting new patients |
| Henry Heywood Memorial Hospital | Current | Accepting new patients | |
| Athol Memorial Hospital Incorporated | Family | Current | Accepting new patients |
Locations
2033 Main St
Athol, MA 01331
Phone (978) 249-1295
242 Green St
Gardner, MA 01440
Phone (978) 258-4734
250 Green St
Ste 208
Gardner, MA 01440
Phone (978) 630-6130
250 Green St
Gardner, MA 01440
Phone (978) 630-5050
Interoperability endpoints
- https://api.platform.athenahealth.com/192/brand/1/csg/123/fhir/r4
- jessica.polana.2@192.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Psychiatric Hospital Unit
- Gardner, MA
- NPI 1457685299
-
- Urgent Care Clinic/Center
- Athol, MA
- NPI 1881123552
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Athol, MA
- NPI 1336120047
-
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
-
- General Acute Care Hospital
- Leominster, MA
- NPI 1013995133
-
- Psychiatric Hospital Unit
- Clinton, MA
- NPI 1285171934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1467964288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 DORSET RD",
"city": "ATHOL",
"state": "MA",
"postal_code": "013313250",
"telephone_number": "978-857-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 GREEN ST",
"city": "GARDNER",
"state": "MA",
"postal_code": "014401336",
"telephone_number": "978-669-5684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "JESSICA",
"credential": "FNP - C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-02",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2267254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "POLANA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gardner, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.
- 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.