Individual provider Active NPI

Jennifer Cores

  • Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1760050041
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN275836 Issued in MA
Practice address
363 Highland Ave
Fall River, MA 02720-3703
Phone
(508) 679-3131
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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 RN275836 MA Primary
Registered Nurse 163W00000X RN275836 MA

Addresses

Primary practice location

363 Highland Ave
Fall River, MA 02720-3703

Mailing address

363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 679-3131

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
I20210819003070 MA Practitioner - Nurse Practitioner 0547665150 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

289 Pleasant St
Suite 102
Fall River, MA 02721-3005
Phone (508) 674-7779

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN275836MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Hospitals Group Inc CurrentSince Jan 1, 2022 Accepting new patients
Southcoast Hospitals Group, Inc CurrentSince Jan 1, 2022 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Aug 27, 2023 Accepting new patients
Prima Care, PC CurrentSince Oct 2, 2023 Accepting new patients
First Physicians Corporation CurrentSince Aug 12, 2021 Accepting new patients
Southcoast Hospitals Group, Inc Current Accepting new patients
Prima Care, PC CurrentSince Oct 2, 2023 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Aug 27, 2023 Accepting new patients

Locations

289 Pleasant St
Ste 102
Fall River, MA 02721
Phone (508) 674-7779

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

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

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

Interoperability endpoints

  • Direct secure messaging: jcores15451@direct.southcoast.org

Organizations & group practices 8

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": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1760050041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 HIGHLAND AVE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203703",
            "telephone_number": "508-679-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 HIGHLAND AVE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203703",
            "telephone_number": "508-679-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORES",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN275836",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN275836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.