Individual provider Active NPI

Jayme Rose Cerullo, NP

  • Family Nurse Practitioner
  • N Chelmsford, MA
National Provider Identifier
1689711871
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235289 Issued in MA
Practice address
20 Research PL
Suite 310
N Chelmsford, MA 01863-2454
Phone
(978) 459-2152
NPI assigned
Jan 30, 2007
Last updated
Jul 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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 235289 MA Primary

Addresses

Primary practice location

20 Research PL
Suite 310
N Chelmsford, MA 01863-2454

Mailing address

51 Heritage Rd
Dracut, MA 01826-4300
Phone (978) 957-5629

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
I20080813000797 MA Practitioner - Nurse Practitioner 8628143468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LGH Professional Services LLCGroup PAC ID 8921364159, 10 clinicians

Practice addresses (Care Compare)

10 Erlin Ter
Tewksbury, MA 01876-2666
Phone (978) 851-3121

19 Varnum St
Lowell, MA 01850-2132
Phone (978) 454-5644

20 Research PL
Suite 310
North Chelmsford, MA 01863-2455
Phone (978) 459-2152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235289MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Internal Medicine LTC CurrentSince Jul 1, 2026 Accepting new patients
LGH Professional Services LLC CurrentSince Sep 10, 2017 Accepting new patients
LGH Medical Group, Inc. Past Accepting new patients
Merrimack Valley Internal Medicine PastSince Jul 1, 2026 Accepting new patients

Locations

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

20 Research Pl
North Chelmsford, MA 01863
Phone (978) 788-7200

20 Research Pl
Ste 310
North Chelmsford, MA 01863
Phone (978) 459-2152

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1689711871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 HERITAGE RD",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264300",
            "telephone_number": "978-957-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL",
            "address_2": "SUITE 310",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632454",
            "telephone_number": "978-459-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERULLO",
        "first_name": "JAYME",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "235289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.