Jennifer Bedoya, NP
Individual provider Active NPI Primary Care Nurse Practitioner · Stoneham, MA
NPI 1609447572 · NPPES record last updated Mar 16, 2022
Key facts
- NPI
- 1609447572
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- F06211516 (MA)
- Practice address
- 3 Woodland Rd Ste 213
Stoneham, MA 02180-1711 - Phone
- (781) 662-7990
- NPI assigned
- Jul 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220324002498 | MA | Practitioner - Nurse Practitioner | 0345635595 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F06211516 | MA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| Winchester Lahey Inpatient Specialists PLLC | Current |
Accepting new patients | |
| Infinity Treatment Centers of America LLC | Current |
Accepting new patients |
Locations
155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420
790 Turnpike St
Ste 300
North Andover, MA 01845
Phone (978) 327-5960
41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000
1 Harbison Way
Ste 222
Columbia, SC 29212
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | F06211516 | MA | Yes |
Addresses
Primary practice location
3 Woodland Rd Ste 213
Stoneham, MA 02180-1711
Mailing address
3 Woodland Rd Ste 213
Stoneham, MA 02180-1711
Phone (781) 662-7990
Other providers in Stoneham, MA
- Mara Batarseh
- Lillian Bates
- Beach Therapy Counseling, LLC
- Bear Hill Healthcare LLC
- Bear Hill Nursing Center ,Inc
- Dennis G Begos
- Colleen Joyce Bemis
- Richard E Benetti
- Ana Maria Bensaci
- Bentkover Facial Plastic Surgery & Laser Center
All providers in Stoneham, MA · Primary Care Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.