Jacqueline Rocheville

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AG06200210 Issued in MA

Practice address

365B Chandler St
Tewksbury, MA 01876-2838

Phone

(978) 979-6061

NPI assigned

Aug 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD
• FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4

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.

• Incare LLC

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1639655467

  NH

  Medicare reassignment NPD
• Incare Tufts PLLC

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1164305611
  NPD (past)

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

{
    "created_epoch": "1596240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596240000000",
    "number": "1558971978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365B CHANDLER ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018762838",
            "telephone_number": "978-979-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365B CHANDLER ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018762838",
            "telephone_number": "978-979-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHEVILLE",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-01",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "AG06200210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renew Dental P C
• Mark Eugene Robbins, M.D.
• Roberts Chiropractic Health Care
• Edward G. Roberts, D.C.
• Joyann Robertson
• Karrilee Rogers
• Jessica Rola
• Galvir Romero
• Joseph P Rossacci, MD
• Lynne Rothstein, LMHC

• Nurse Practitioner in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.