Active NPI
Jean E Demartinis, NP
- Family Nurse Practitioner
- Springfield, MA
National Provider Identifier
1609021138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 154699
- Practice address
- Baystate Medical Practices
280 Chestnut Street; 1St Floor
Springfield, MA 01199-0001 - Phone
- (413) 794-5365
- Fax
- (413) 794-5365
- NPI assigned
- Nov 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 154699 | MA | Primary |
Addresses
Primary practice location
Baystate Medical Practices
280 Chestnut Street; 1St Floor
Springfield, MA 01199-0001
Mailing address
26 Crescent Cir
Westfield, MA 01085-5004
Phone (413) 687-2624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154699 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Past | Accepting new patients | |
| Holyoke Health Center Inc. | Past | Accepting new patients | |
| Holyoke Health Center Inc. | Past | Accepting new patients |
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.
-
- Community Health Clinic/Center
- Chicopee, MA
- NPI 1518948595
-
- Community Health Clinic/Center
- Holyoke, MA
- NPI 1740271022
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1609021138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 CRESCENT CIR",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010855004",
"telephone_number": "413-687-2624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BAYSTATE MEDICAL PRACTICES",
"address_2": "280 CHESTNUT STREET; 1ST FLOOR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011990001",
"telephone_number": "413-794-5365",
"fax_number": "413-794-5365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARTINIS",
"first_name": "JEAN",
"middle_name": "E",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-25",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "154699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.