Individual provider Active NPI

Jennifer Marjorie Cormier, FNP

  • Family Nurse Practitioner
  • New Bedford, MA
National Provider Identifier
1821760372
Registry record updated Dec 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN234911 Issued in MA
Practice address
874 Purchase St
New Bedford, MA 02740-6232
Phone
(508) 992-6553
Fax
(508) 997-2498
NPI assigned
Oct 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 234911 MA
Family Nurse Practitioner 363LF0000X RN234911 MA Primary

Addresses

Primary practice location

874 Purchase St
New Bedford, MA 02740-6232

Mailing address

161 Spruce St
Middleboro, MA 02346-3113
Phone (508) 353-6523

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
I20220728001694 MA Practitioner - Nurse Practitioner 8123400793 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
Afc Physicians of Massachusetts, PCGroup PAC ID 9234321308, 60 clinicians
Greater New Bedford Community Health Center IncGroup PAC ID 7214848811, 49 clinicians

Practice addresses (Care Compare)

119 Coggeshall St
New Bedford, MA 02746-2443
Phone (508) 990-1900

874 Purchase St
New Bedford, MA 02740-6232
Phone (508) 992-6553

Hospital & facility affiliations

  • Southcoast Visiting Nurse Association Inc Home health agency, Fairhaven, MA, CCN 227101
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234911MAMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Massachusetts CurrentSince Nov 30, 2025 Accepting new patients
Carecentral Urgent Care Medical Group PC CurrentSince Aug 1, 2022 Accepting new patients
Matrix Medical Plus CurrentSince Jul 14, 2023 Accepting new patients
Afc Physicians of Massachusetts, PC CurrentSince Nov 30, 2025 Accepting new patients
Greater New Bedford Community Health Center, Inc. CurrentSince Jul 15, 2023 Accepting new patients
Greater New Bedford Community Health Center, Inc. CurrentSince Jul 15, 2023 Accepting new patients
Carecentral Urgent Care Medical Group PC CurrentSince Aug 1, 2022 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

3 Allied Dr
Dedham, MA 02026
Phone (404) 587-0945

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

119 Coggeshall St
New Bedford, MA 02746
Phone (508) 235-5339

415 Cooley St
Unit 3
Springfield, MA 01128
Phone (413) 782-4878

286 Washington St
Stoughton, MA 02072
Phone (781) 341-2800

Interoperability endpoints

  • Direct secure messaging: jcormier45713@direct.ctc.masshiway.net

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.

Hospital & facility affiliations 2

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": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701475200000",
    "number": "1821760372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 SPRUCE ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023463113",
            "telephone_number": "508-353-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 PURCHASE ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406232",
            "telephone_number": "508-992-6553",
            "fax_number": "508-997-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMIER",
        "first_name": "JENNIFER",
        "middle_name": "MARJORIE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2023-12-02",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MA",
            "license": "234911",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN234911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.