Jean Callahan, FNP-C
Individual provider Active NPI Nurse Practitioner · Wareham, MA
NPI 1508419607 · NPPES record last updated Apr 3, 2025
Key facts
- NPI
- 1508419607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN256099 (MA)
- Practice address
- 43 Hight St
Wareham, MA 02536 - Phone
- (508) 973-5919
- NPI assigned
- Jul 18, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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 LLC
Southcoast Physicians Group Inc
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
- Hospice and Palliative Care
- Southcoast Hospitals Group
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 |
|---|---|---|---|---|
| I20200928002102 | MA | Practitioner - Nurse Practitioner | 2769801539 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN256099 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients | |
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients | |
| Convenientmd - FFS UC LLC | Current |
Accepting new patients | |
| Convenientmd - FFS UC LLC | Current |
Accepting new patients | |
| Genera Health Direct LLC | Past |
Accepting new patients | |
| Southcoast Hospitals Group, Inc | Past | Accepting new patients | |
| Ipc Hospitalists of New England, P.C. | Nurse Practitioner | 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
- jcallahan63192@direct.southcoast.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN256099 | MA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110028173B | Medicaid | MA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | callahanj@southcoasthealth.org | Health Information Exchange (HIE) |
Other providers in Wareham, MA
- Michael James Burroughs
- Evelyn J Busnengo
- Buzzards Bay Hand Therapy LLC
- Steven Cabral
- Victoria Marie Cabral
- Mallory Callinan
- Katie Camara
- Cape Cod Dental P.C.
- Cape Geriatrics
- Randy H. Caplan
All providers in Wareham, 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 Apr 3, 2025. 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.