NPIMap

Individual provider Active NPI

Jessica Fortin, MD

  • Hospitalist Physician
  • Exeter, NH
National Provider Identifier
1639669260
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
21216 Issued in NH
Practice address
5 Alumni Dr FL 2
Exeter, NH 03833-2128
Phone
(603) 580-7525
Fax
(603) 580-7542
NPI assigned
May 18, 2018
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21216 NH
Hospitalist Physician 208M00000X 21216 NH Primary

Addresses

Primary practice location

5 Alumni Dr FL 2
Exeter, NH 03833-2128

Mailing address

7 Holland Way FL 1
Exeter, NH 03833-2997
Phone (603) 580-7525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210719001229 NH Practitioner - Family PracticePractitioner - Hospitalist 3971834698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Physicians LLCGroup PAC ID 2769563253, 290 clinicians

Practice addresses (Care Compare)

5 Alumni Dr
Exeter, NH 03833-2128
Phone (603) 580-6457

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21216NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physicians LLC CurrentSince Jul 25, 2022 Accepting new patients
Greater Seacoast Community Health CurrentSince Jul 1, 2021 Accepting new patients
Core Physicians, LLC Family Medicine CurrentSince Jul 25, 2022 Accepting new patients
Greater Seacoast Community Health CurrentSince Jul 1, 2021 Accepting new patients
Sutter North Medical Foundation PastSince Oct 20, 2019 Accepting new patients
Sutter West Bay Medical Foundation Family Medicine PastSince Oct 20, 2019 Accepting new patients
Exeter Hospital Inc Past Accepting new patients

Locations

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

5 Alumni Dr
Fl 2
Exeter, NH 03833
Phone (603) 580-7525

7 Holland Way
#1
Exeter, NH 03833

311 Route 108
Somersworth, NH 03878
Phone (603) 422-8208

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jfortin507183@direct.bilh.masshiway.net

Organizations & group practices 7

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1639669260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HOLLAND WAY FL 1",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332997",
            "telephone_number": "603-580-7525",
            "fax_number": "603-580-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALUMNI DR FL 2",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332128",
            "telephone_number": "603-580-7525",
            "fax_number": "603-580-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTIN",
        "first_name": "JESSICA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "21216",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NH",
            "license": "21216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

Verify at the official NPI Registry.