Organization Active NPI

Access Care Everywhere, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mattapan, MA
National Provider Identifier
1699580647
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ACCESS CARE EVERYWHERE, LLC
Practice address
119 W Selden St
Mattapan, MA 02126-2348
Phone
(617) 407-7879
NPI assigned
Feb 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Stephenie Jackson-Wilson
Title
Owner
Phone
(617) 407-7879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

119 W Selden St
Mattapan, MA 02126-2348

Mailing address

119 W Selden St
Mattapan, MA 02126-2348
Phone (617) 407-7879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250403000786 MA Part B Supplier - Clinic/Group Practice 4587187273 Receives reassigned benefits from 1 practitioner
Practice locations: Mattapan, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1699580647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W SELDEN ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262348",
            "telephone_number": "617-407-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W SELDEN ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262348",
            "telephone_number": "617-407-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS CARE EVERYWHERE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON-WILSON",
        "authorized_official_first_name": "STEPHENIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-407-7879"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapan, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.