Individual provider Active NPI

Jeanne B Larock, NP

  • Nurse Practitioner
  • Wareham, MA
National Provider Identifier
1750361713
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN216221 Issued in MA
Practice address
100 Rosebrook Way
Wareham, MA 02571-1138
Phone
(508) 273-4950
Fax
(508) 273-4950
NPI assigned
Jan 18, 2006
Last updated
Apr 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN216221 MA Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 216221 MA

Addresses

Primary practice location

100 Rosebrook Way
Wareham, MA 02571-1138

Mailing address

200 Mill Rd
Ste 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000

Other identifiers 1

IdentifierTypeStateIssuer
0321401MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlarock5982@direct.southcoast.org

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
I20060203000320 MA Practitioner - Nurse Practitioner 8325052863 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

370 Faunce Corner Rd
North Dartmouth, MA 02747-1271
Phone (508) 973-9050

534 Prospect St
Fall River, MA 02720-5281
Phone (508) 973-7766

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrical Associates Inc CurrentSince Jul 1, 2002 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Sep 8, 2011 Accepting new patients
Highland Primary Care Group CurrentSince Jul 1, 2022 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Sep 8, 2011 Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

1151 Robeson St
Fl 2
Fall River, MA 02720
Phone (508) 646-6767

1151 Robeson St
Ste 201
Fall River, MA 02720
Phone (508) 730-1666

1565 N Main St
Ste 506
Fall River, MA 02720
Phone (508) 730-1666

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

100 Rosebrook Way
Wareham, MA 02571
Phone (508) 273-4950

100 Rosebrook Way
Fl 2
Wareham, MA 02571
Phone (508) 273-4900

Interoperability endpoints

  • Direct secure messaging: jlarock5982@direct.southcoast.org

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.

Hospital & facility affiliations 1

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1750361713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD",
            "address_2": "STE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROSEBROOK WAY",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711138",
            "telephone_number": "508-273-4950",
            "fax_number": "508-273-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCK",
        "first_name": "JEANNE",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN216221",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MA",
            "license": "216221",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0321401",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlarock5982@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Physicians Group, Inc.",
            "address_1": "100 Rosebrook Way",
            "city": "Wareham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "025711138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wareham, MA

Sources for this page

Verify at the official NPI Registry.