Individual provider Active NPI

Jacklyn Snow, FNP

  • Family Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1588351217
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2325155 Issued in MA
Practice address
700 Attucks LN Unit 1E
Hyannis, MA 02601-1809
Phone
(508) 771-6108
Fax
(800) 465-3203
NPI assigned
Apr 21, 2023
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2325155 MA Primary

Addresses

Primary practice location

700 Attucks LN Unit 1E
Hyannis, MA 02601-1809

Mailing address

700 Attucks LN Unit 1E
Hyannis, MA 02601-1809
Phone (508) 771-6108

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
I20230920000554 MA Practitioner - Nurse Practitioner 4284098567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2 Jan Sebastian Dr
Suite 100
Sandwich, MA 02563-2377
Phone (508) 833-8247

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.23 of 100Reported as group
Quality
56.78
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Aug 14, 2023 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Aug 14, 2023 Accepting new patients

Locations

1030 Falmouth Rd
Hyannis, MA 02601
Phone (774) 470-5080

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

700 Attucks Ln
Unit 1E
Hyannis, MA 02601
Phone (508) 771-2100

2 Jan Sebastian Dr
Sandwich, MA 02563
Phone (508) 833-8247

2 Jan Sebastian Dr
#100
Sandwich, MA 02563
Phone (508) 833-2639

Organizations & group practices 2

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": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1588351217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ATTUCKS LN UNIT 1E",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011809",
            "telephone_number": "508-771-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ATTUCKS LN UNIT 1E",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011809",
            "telephone_number": "508-771-6108",
            "fax_number": "800-465-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "JACKLYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2325155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.