Individual provider Active NPI

Jeremy John Schleibaum, PA-C

  • Physician Assistant
  • Middleton, MA
National Provider Identifier
1689914145
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA5494 Issued in MA
Practice address
147 S Main St
Middleton, MA 01949-2446
Phone
(978) 774-2555
Fax
(978) 774-8715
NPI assigned
Feb 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA5494 MA Primary

Addresses

Primary practice location

147 S Main St
Middleton, MA 01949-2446

Mailing address

147 S Main St
Middleton, MA 01949-2446
Phone (978) 774-2555

Other practice location 1

99 Conifer Hill Dr
Danvers, MA 01923-1193
Phone (978) 774-2555

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
I20151027000164 MA Practitioner - Physician Assistant 8628291697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middleton Family Medicine Urgent Care LLCGroup PAC ID 0042533218, 74 clinicians

Practice addresses (Care Compare)

1 Orthopedics Dr
Peabody, MA 01960-1668
Phone (978) 818-6350

147 S Main St
Middleton, MA 01949-2446
Phone (978) 774-2555

331 Gloucester Crossing Rd
Gloucester, MA 01930-2283
Phone (978) 879-4047

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5354AZMDDentist
PA5494MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine North Orthopaedic Surgery, Inc CurrentSince Sep 1, 2015 Accepting new patients

Locations

30 Tozer Rd
Ste 201
Beverly, MA 01915
Phone (978) 712-9081

147 S Main St
Middleton, MA 01949
Phone (978) 774-2555

20 Henry Graf Jr Rd
Newburyport, MA 01950
Phone (774) 208-8178

1 Orthopedics Dr
Ste 2
Peabody, MA 01960
Phone (978) 818-6493

1 Orthopedics Dr
Peabody, MA 01960
Phone (781) 595-4562

Interoperability endpoints

  • Direct secure messaging: jeremy.schleibaum.1@7605.direct.athenahealth.com

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 3

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": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1689914145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 S MAIN ST",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019492446",
            "telephone_number": "978-774-2555",
            "fax_number": "978-774-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 S MAIN ST",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019492446",
            "telephone_number": "978-774-2555",
            "fax_number": "978-774-8715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Conifer Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Danvers",
            "state": "MA",
            "postal_code": "019231193",
            "country_code": "US",
            "telephone_number": "978-774-2555",
            "fax_number": "978-774-8715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLEIBAUM",
        "first_name": "JEREMY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-20",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, MA

Sources for this page

Verify at the official NPI Registry.