Individual provider Active NPI

Jean E Demartinis, NP

  • Family Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1609021138
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
154699 Issued in MA
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

Updated by the provider on Jan 26, 2015

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 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

LicenseStateTypeSpecialty
154699MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.