Jamie Rodgers

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2308600 Issued in MA

Practice address

11 Pontiac Ave
Webster, MA 01570-1629

Phone

(508) 943-3889

NPI assigned

Jul 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Vantage Healthcare LLC

  • Internal Medicine Physician
  • Canton, MA
  • NPI 1366903551

  MA

  Medicare reassignment Care Compare group NPD

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vantage Healthcare LLC 72 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1730732199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 RADMORE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016021740",
            "telephone_number": "347-573-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PONTIAC AVE",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015701629",
            "telephone_number": "508-943-3889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Radmore St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016021740",
            "country_code": "US",
            "telephone_number": "347-573-0552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2308600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Kristine Reilly
• Reliant Medical Group
• Rania Rafaat Rezk, RPH
• Kirsten Emily Richards, PHARM D
• Heather Robinson
• Angelica Rodriguez
• Bryan Joseph Rodriguez, BA
• Gil Rohald, M.D.
• Desiree Roussin
• Royal Palm Specialty Pharmacy LLC

• All providers in Webster, MA
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.