Individual provider Active NPI

Jean Callahan, FNP-C

  • Nurse Practitioner
  • Wareham, MA
National Provider Identifier
1508419607
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN256099 Issued in MA
Practice address
43 Hight St
Wareham, MA 02536
Phone
(508) 973-5919
NPI assigned
Jul 18, 2019
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN256099 MA Primary

Addresses

Primary practice location

43 Hight St
Wareham, MA 02536

Mailing address

43 High St
Wareham, MA 02571-2097
Phone (508) 295-0880

Other practice location 1

40 Davis Straits
Falmouth, MA 02540-3906
Phone (774) 255-3010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address callahanj@southcoasthealth.org Health Information Exchange (HIE)

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
I20200928002102 MA Practitioner - Nurse Practitioner 2769801539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

40 Davis Straits
Falmouth, MA 02540-3906
Phone (774) 255-3010

43 High St
Wareham, MA 02571-2097
Phone (508) 973-5919

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince May 16, 2022 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince May 13, 2025 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince May 13, 2025 Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince May 16, 2022 Accepting new patients
Ipc Hospitalists of New England, P.C. Nurse Practitioner Past Accepting new patients
Genera Health Direct LLC PastSince Nov 1, 2021 Accepting new patients
Southcoast Hospitals Group, Inc Past Accepting new patients

Locations

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

43 High St
Wareham, MA 02571
Phone (508) 273-4200

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Interoperability endpoints

  • Direct secure messaging: callahanj@southcoasthealth.org
  • Direct secure messaging: jcallahan63192@direct.southcoast.org

Organizations & group practices 8

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 2

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1508419607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 HIGH ST",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025712097",
            "telephone_number": "508-295-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 HIGHT ST",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "02536",
            "telephone_number": "508-973-5919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Davis Straits",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "MA",
            "postal_code": "025403906",
            "country_code": "US",
            "telephone_number": "774-255-3010",
            "fax_number": "508-388-2312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN256099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "callahanj@southcoasthealth.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Hospital",
            "address_1": "43 Hight st",
            "city": "Wareham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wareham, MA

Sources for this page

Verify at the official NPI Registry.