Active NPI
Jennifer Marjorie Cormier, FNP
- Family Nurse Practitioner
- New Bedford, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN234911
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Southcoast Hospitals Group
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234911 | MA | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Physicians of Massachusetts | Current | Accepting new patients | |
| Carecentral Urgent Care Medical Group PC | Current | Accepting new patients | |
| Matrix Medical Plus | Current | Accepting new patients | |
| Afc Physicians of Massachusetts, PC | Current | Accepting new patients | |
| Greater New Bedford Community Health Center, Inc. | Current | Accepting new patients | |
| Greater New Bedford Community Health Center, Inc. | Current | Accepting new patients | |
| Carecentral Urgent Care Medical Group PC | Current | 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
- 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.
-
- Community Health Clinic/Center
- New Bedford, MA
- NPI 1982607537
-
- Urgent Care Clinic/Center
- Springfield, MA
- NPI 1902123276
-
- Urgent Care Clinic/Center
- Stoughton, MA
- NPI 1922385319
-
- Urgent Care Clinic/Center
- Worcester, MA
- NPI 1821711268
-
- Urgent Care Clinic/Center
- Worcester, MA
- NPI 1740672989
-
- Urgent Care Clinic/Center
- Halifax, MA
- NPI 1053119677
-
- Community Health Clinic/Center
- Wareham, MA
- NPI 1073993937
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
-
- Home Health Agency
- Fairhaven, MA
- NPI 1104937697
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.