Jessica Boldridge
Individual provider Active NPI Nephrology Physician · Fairhaven, MA
NPI 1578023503 · NPPES record last updated Aug 20, 2026
Key facts
- NPI
- 1578023503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 25MA13148900 (NJ)
- Practice address
- 208 Mill Rd
Fairhaven, MA 02719-5208 - Phone
- (609) 756-7371
- NPI assigned
- Mar 25, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southcoast Physicians Group Inc
Practice addresses (Care Compare)
500 Faunce Corner Rd
North Dartmouth, MA 02747-1278
Phone (508) 973-2216
Hospital & facility affiliations
- Southcoast Hospitals Group
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 89.08
- 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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240827000785 | MA | Practitioner - Nephrology | 8921338526 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1020056 | MA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients |
Locations
208 Mill Rd
Fairhaven, MA 02719
Phone (508) 758-3781
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
500 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 973-2216
Interoperability endpoints
- jboldridge80193@direct.southcoast.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 25MA13148900 | NJ | Yes |
Addresses
Primary practice location
208 Mill Rd
Fairhaven, MA 02719-5208
Mailing address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Other practice location 1
2201 S Sterling St
Morganton, NC 28655-4044
Phone (828) 580-5000
Other practice location 2
6 Brighton Rd
Clifton, NJ 07012-1647
Phone (908) 277-8649
Other providers in Fairhaven, MA
- Leanne M. Bishop
- Elizabeth M Blanchard
- Diane Doris Blier
- Vanda Blinn
- Susan Anne Bliss
- Pamela Frances Boutin
- Brian K Bowcock
- Lauren Braga
- Jennifer Brengle
- Karen Bridges
All providers in Fairhaven, MA · Nephrology Physician 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 20, 2026. 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.