Individual provider Active NPI

Jamie A Hanson, AGNP-C

  • Adult Health Nurse Practitioner
  • Great Barrington, MA
National Provider Identifier
1548086242
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN270821 Issued in MA
Practice address
10 Maple Ave Ste 300
Great Barrington, MA 01230-1993
Phone
(413) 854-9932
Fax
(413) 854-9931
NPI assigned
Nov 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN270821 MA Primary

Addresses

Primary practice location

10 Maple Ave Ste 300
Great Barrington, MA 01230-1993

Mailing address

1980 Cape St
Lee, MA 01238-9114
Phone (413) 770-1240

Other names 1

  • Jamie A O'Dell Former name

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
I20250416000052 MA Practitioner - Nurse Practitioner 4284159922 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Sep 25, 2025 Accepting new patients
Fairview Hospital CurrentSince Mar 3, 2025 Accepting new patients
Fairview Hospital CurrentSince Mar 3, 2025 Accepting new patients

Locations

10 Maple Ave
Ste 300
Great Barrington, MA 01230
Phone (413) 854-9932

10 Maple Ave
Great Barrington, MA 01230
Phone (413) 854-9910

29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1548086242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 CAPE ST",
            "city": "LEE",
            "state": "MA",
            "postal_code": "012389114",
            "telephone_number": "413-770-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAPLE AVE STE 300",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301993",
            "telephone_number": "413-854-9932",
            "fax_number": "413-854-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "JAMIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN270821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "O'DELL",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Great Barrington, MA

Sources for this page

Verify at the official NPI Registry.