Individual provider Active NPI

Carolyn Ann Jordan, NP

  • Adult Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1649344094
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN256168 Issued in MA
Practice address
Boston Medical Center, 801 Massachusetts Ave
Crosstown Building 6TH Floor
Boston, MA 02118
Phone
(617) 414-5951
Fax
(617) 414-9334
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN256168 MA Primary
Women's Health Nurse Practitioner 363LW0102X RN256168 MA

Addresses

Primary practice location

Boston Medical Center, 801 Massachusetts Ave
Crosstown Building 6TH Floor
Boston, MA 02118

Mailing address

Boston Medical Center, 801 Massachusetts Ave
Crosstown Building 6TH Floor
Boston, MA 02118
Phone (617) 414-5951

Other practice location 1

236 Highland Ave
Somerville, MA 02143-1495
Phone (617) 591-6300

Other identifiers 1

IdentifierTypeStateIssuer
110076848MedicaidMA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061222000242 MA Practitioner - Nurse Practitioner 4183624141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Evans Medical Foundation IncGroup PAC ID 7416946546, 525 clinicians

Practice addresses (Care Compare)

1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 638-8000

72 E Newton St
CR Evans 124
Boston, MA 02118-2308
Phone (617) 638-7253

88 E Newton St
Boston, MA 02118-2308
Phone (617) 414-5405

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
256168MAMDNeurology Physician
RN256168MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Public Health Commission Current Accepting new patients
Evans Medical Foundation, Inc. Adult Health CurrentSince Dec 1, 2025 Accepting new patients
Cambridge Public Health Commission CurrentSince Oct 5, 2006 Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

801 Massachusetts Ave
Ste 5A
Boston, MA 02118

88 Newton St
Boston, MA 02118
Phone (617) 638-7350

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

300 Broadway
Somerville, MA 02145
Phone (617) 284-7000

236 Highland Ave
Somerville, MA 02143
Phone (617) 591-4440

Interoperability endpoints

  • Direct secure messaging: cjordan2699@direct.challiance.masshiway.net

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.

Hospital & facility affiliations 8

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1649344094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOSTON MEDICAL CENTER, 801 MASSACHUSETTS AVE",
            "address_2": "CROSSTOWN BUILDING 6TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-414-5951",
            "fax_number": "617-414-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOSTON MEDICAL CENTER, 801 MASSACHUSETTS AVE",
            "address_2": "CROSSTOWN BUILDING 6TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-414-5951",
            "fax_number": "617-414-9334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021431495",
            "country_code": "US",
            "telephone_number": "617-591-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN256168",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN256168",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110076848",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.