Juffred Colon
Individual provider Active NPI Nurse Practitioner · Worcester, MA
NPI 1477008563 · NPPES record last updated Aug 11, 2022
Key facts
- NPI
- 1477008563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN2273365 (MA)
- Practice address
- 55 Lake Ave N
Worcester, MA 01655-0002 - Phone
- (508) 334-8515
- Fax
- (508) 334-6490
- NPI assigned
- Aug 18, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athol Memorial Hospital Incorporated
Heywood Medical Group Inc.
Umass Memorial Medical Group Inc
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
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
- Athol Memorial Hospital
- Heywood Hospital -
- Umass Memorial Medical Center/University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161115000687 | MA | Practitioner - Nurse Practitioner | 9133408107 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2273365 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Hospitalists PC | Nurse Practitioner | Current |
Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current |
Accepting new patients | |
| Row Medical Group PC | Current |
Accepting new patients | |
| Athol Memorial Hospital Incorporated | Nurse Practitioner | Current |
Accepting new patients |
| Henry Heywood Memorial Hospital | Nurse Practitioner | Current |
Accepting new patients |
| Umass Memorial Medical Group Inc | Nurse Practitioner | Current |
Accepting new patients |
| Heywood Medical Group Inc. | Nurse Practitioner | Current |
Accepting new patients |
| Henry Heywood Memorial Hospital | Current |
Accepting new patients | |
| Henry Heywood Memorial Hospital | Past | Accepting new patients | |
| Eastern Medical Associates LLC | Past |
Accepting new patients |
Locations
81 Reservoir Dr
Side
Athol, MA 01331
2033 Main St
Athol, MA 01331
Phone (978) 249-1295
242 Green St
Gardner, MA 01440
Phone (978) 258-4734
242 Green St
Ste 205
Gardner, MA 01440
250 Green St
Gardner, MA 01440
Phone (978) 630-5050
333 SW Cutoff
Northborough, MA 01532
Phone (774) 570-5000
1001 Thorndike St
Palmer, MA 01069
Phone (413) 283-2545
290 Turnpike Rd
Ste 150414
Westborough, MA 01581
Phone (508) 414-8959
475 Pleasant St
Ste D
Worcester, MA 01609
Phone (508) 753-4151
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
Interoperability endpoints
- juffred.colon.1@192.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2273365 | MA | |
| Nurse Practitioner | 363L00000X | RN2273365 | MA | Yes |
Addresses
Primary practice location
55 Lake Ave N
Worcester, MA 01655-0002
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other practice location 1
119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-8515
Other providers in Worcester, MA
- Eleyna Maialee Colon
- Flor Colon
- Genesis Colon
- Isabella Colon
- Judyth Colon
- Katia Colon
- Leonardo Colon
- Luis Colon
- Michael Jomar Colon
- Nathali Y Colon
All providers in Worcester, MA · Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.