Individual provider Active NPI

Stacey L Jodice, DNP, FNP-BC

  • Primary Care Nurse Practitioner
  • Boston, MA
National Provider Identifier
1760038202
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2294699 Issued in MA
Practice address
800 Huntington Ave FL 3
Boston, MA 02115-6303
Phone
(617) 525-9548
NPI assigned
Aug 12, 2019
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN2294699 MA
Primary Care Nurse Practitioner 363LP2300X RN2294699 MA Primary

Addresses

Primary practice location

800 Huntington Ave FL 3
Boston, MA 02115-6303

Mailing address

28 Hycrest Rd
Charlton, MA 01507-1568
Phone (413) 329-9017

Other practice location 1

333 1st St Ste A
San Francisco, CA 94105-2661
Phone (888) 803-3370

Other practice location 2

276 Turnpike Rd Ste 223
Westborough, MA 01581-0613
Phone (413) 329-9017

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
I20240913002538 MA Practitioner - Nurse Practitioner 0446790687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

800 Huntington Ave
Boston, MA 02115-6303
Phone (617) 525-9544

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince Aug 7, 2024 Accepting new patients
Brigham and Women's Hospital Current Accepting new patients
Westboro Family Medicine Family Medicine PastSince Aug 1, 2019 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

800 Huntington Ave
Boston, MA 02115
Phone (617) 525-9544

800 Huntington Ave
Fl 3
Boston, MA 02115
Phone (617) 525-9548

62 13th St
Charlestown, MA 02129
Phone (617) 724-3874

Interoperability endpoints

  • Direct secure messaging: jodice.stacey.bwh@direct.partners.masshiway.net

Organizations & group practices 3

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 6

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": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1760038202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HYCREST RD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015071568",
            "telephone_number": "413-329-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HUNTINGTON AVE FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156303",
            "telephone_number": "617-525-9548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 1st St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941052661",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "276 Turnpike Rd Ste 223",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015810613",
            "country_code": "US",
            "telephone_number": "413-329-9017",
            "fax_number": "413-228-3672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JODICE",
        "first_name": "STACEY",
        "middle_name": "L",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "RN2294699",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2294699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.