Jamie Anderson, FNP
Individual provider Active NPI Family Nurse Practitioner · Plymouth, MA
NPI 1750160974 · NPPES record last updated Mar 5, 2024
Key facts
- NPI
- 1750160974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN2322240 (MA)
- Practice address
- 36 Shops at 5 Way
Plymouth, MA 02360-2677 - Phone
- (508) 747-1443
- NPI assigned
- Sep 26, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Atrius Health Inc
Practice addresses (Care Compare)
100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800
133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000
2 Technology Park Dr
Suite a
Bourne, MA 02532-8341
Phone (508) 743-9543
36 Shops at 5 Way
Plymouth, MA 02360-2677
Phone (774) 608-3700
Hospital & facility affiliations
- Beth Israel Deaconess Hospital Plymouth
- Spaulding Rehabilitation Hospital - Cape Cod
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231120002550 | MA | Practitioner - Nurse Practitioner | 5799133385 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2322240 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Current |
Accepting new patients | |
| Atrius Health, Inc. | Current |
Accepting new patients |
Locations
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
214 Main St
Kingston, MA 02364
Phone (781) 582-2172
36 Shops At 5 Way
Plymouth, MA 02360
Phone (617) 657-6445
Interoperability endpoints
- jlarsenrn340837@direct.atrius.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Nurse Practitioner | 363LF0000X | RN2322240 | MA | Yes |
Addresses
Primary practice location
36 Shops at 5 Way
Plymouth, MA 02360-2677
Mailing address
10 Cordage Park Cir
Plymouth, MA 02360-7318
Other practice location 1
214 Main St
Kingston, MA 02364-1928
Phone (781) 585-2172
Other providers in Plymouth, MA
- Anchor Point Chiropractic LLC
- Anchors Up Counseling, LLC
- Amy Christine Anderson
- Chelsea Anderson
- Christin Anderson
- Jessica Anderson
- Justin Anderson
- Kathleen Maura Anderson
- Siobhan Anderson
- Andienutritionllc
All providers in Plymouth, MA · Family Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.