Judy Nanesi Arthur Jackson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9504 Issued in MA

Practice address

305 Bicentennial Highway
Department of Pediatrics
Springfield, MA 01118

Phone

(413) 733-4101

Fax

(413) 783-9544

NPI assigned

Jul 6, 2022

Last updated

Apr 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jarthurjackson3102558@direct.trinity-health.org

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.

• Riverbend Medical Group, Inc.

  dba Trinity Health Of New England Medical Group

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1841651197
  Medicare reassignment NPD
• Baystate Medical Practices, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Springfield, MA
  • NPI 1548205909
  NPD (past)
• Mwa,PC

  dba RiverBend Medical Group

  • Internal Medicine Physician
  • Chicopee, MA
  • NPI 1609821990
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712966400000",
    "number": "1619600681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 LONGMEADOW ST",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062212",
            "telephone_number": "413-565-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BICENTENNIAL HIGHWAY",
            "address_2": "DEPARTMENT OF PEDIATRICS",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01118",
            "telephone_number": "413-733-4101",
            "fax_number": "413-783-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTHUR JACKSON",
        "first_name": "JUDY",
        "middle_name": "NANESI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA9504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergio A. Arroyo
• Stephanie M. Arroyo
• Elizabeth T Arsenio, M.D.
• Joebeth Manzanares Arsolon, PT, DPT
• Andrew William Artenstein, MD
• Phillicia Arthurton
• David E Artzerounian, M.D.
• Madeline Arzola
• Walid Asaad
• Frederick Asante-Somuah, PHARMD

• Physician Assistant in Springfield, MA
• Providers in Springfield, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.