Active NPI
Jillian Lee Panico, CPNP-PC
- Pediatric Nurse Practitioner
- Westwood, MA
National Provider Identifier
1780301531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN2344675
- Practice address
- 541 High St
Westwood, MA 02090-1628 - Phone
- (781) 326-7700
- Fax
- (781) 251-0910
- NPI assigned
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN2344675 | MA | Primary |
Addresses
Primary practice location
541 High St
Westwood, MA 02090-1628
Mailing address
75 Parkview St Apt 201
Weymouth, MA 02190-3931
Phone (617) 895-8211
Other practice location 1
89 Forbes Blvd
Mansfield, MA 02048-1281
Phone (508) 339-9944
Other practice location 2
115 Main St
North Easton, MA 02356-1468
Phone (508) 535-5535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2344675 | MA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westwood-Mansfield Pediatric Associates, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- Westwood, MA
- NPI 1427264522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1780301531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 PARKVIEW ST APT 201",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021903931",
"telephone_number": "617-895-8211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 HIGH ST",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020901628",
"telephone_number": "781-326-7700",
"fax_number": "781-251-0910"
}
],
"practiceLocations": [
{
"address_1": "89 Forbes Blvd",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "MA",
"postal_code": "020481281",
"country_code": "US",
"telephone_number": "508-339-9944",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Main St",
"address_purpose": "LOCATION",
"city": "North Easton",
"state": "MA",
"postal_code": "023561468",
"country_code": "US",
"telephone_number": "508-535-5535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANICO",
"first_name": "JILLIAN",
"middle_name": "LEE",
"credential": "CPNP-PC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-24",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "RN2344675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.