Individual provider Active NPI

Sophie Carnes Jannen

  • Family Nurse Practitioner
  • Pittsfield, MA
National Provider Identifier
1750987533
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2316115 Issued in MA
Practice address
510 North St Ste 6
Pittsfield, MA 01201-5493
Phone
(802) 442-6361
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2316115 MA Primary

Addresses

Primary practice location

510 North St Ste 6
Pittsfield, MA 01201-5493

Mailing address

510 North St Ste 6
Pittsfield, MA 01201-5493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2316115MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Programs CurrentSince Aug 1, 2022 Accepting new patients
Community Health Programs, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Community Health Programs, Inc. Current Accepting new patients
Berkshire Medical Center Inc. PastSince Jul 23, 2023 Accepting new patients
Southwestern Vermont Medical Center, Inc Past Accepting new patients

Locations

444 Stockbridge Rd
Gt Barrington, MA 01230
Phone (413) 528-8580

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1750987533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 NORTH ST STE 6",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NORTH ST STE 6",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015493",
            "telephone_number": "802-442-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNES JANNEN",
        "first_name": "SOPHIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2025-09-11",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2316115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.