Amanda Mary Jasiak, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2298807 Issued in MA

Practice address

20 Wall St
Burlington, MA 01803-4758

Phone

(781) 221-2600

Fax

(781) 221-2637

NPI assigned

Aug 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mass General Brigham Community Physicians IncGroup PAC ID 1759273436, 430 clinicians

LGH Medical Group, Inc.Group PAC ID 3173626751, 165 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore Medical Center - Hospital, Salem, MA, CCN 220035
• Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jasiak.amanda.pma@direct.partners.masshiway.net
• Direct secure messaging: ajasiakrn199739@direct.atrius.masshiway.net

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.

• LGH Medical Group, Inc.

  • Hospitalist Physician
  • Lowell, MA
  • NPI 1174698385
  Medicare reassignment Care Compare group NPD
• Mass General Brigham Community Physicians Inc.

  • Internal Medicine Physician
  • Haverhill, MA
  • NPI 1891112637
  Medicare reassignment Care Compare group NPD
• Atrius Health, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1871639914

  Nurse Practitioner

  Medicare reassignment NPD
• Massachusetts General Physicians Organization Inc

  • Dermatology Physician
  • Boston, MA
  • NPI 1801874573
  Medicare reassignment NPD
• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236
  Medicare reassignment NPD
• Atrius Health, Inc.

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1053862045
  NPD
• Atrius Health, Inc.

  • Internal Medicine Physician
  • Beverly, MA
  • NPI 1114265634

  Nurse Practitioner

  NPD
• Mass General Brigham Community Physicians Inc

  • Cardiovascular Disease Physician
  • Medford, MA
  • NPI 1548638265
  NPD
• Mass General Brigham Community Physicians Inc.

  • Internal Medicine Physician
  • Burlington, MA
  • NPI 1639773039
  NPD
• Pentucket Medical Associates, LLC

  • Internal Medicine Physician
  • Haverhill, MA
  • NPI 1609872886
  NPD
• LGH Professional Services LLC

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1417485541
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lawrence General Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281
  Care Compare affiliation
• North Shore Medical Center, Inc.

  • General Acute Care Hospital
  • Salem, MA
  • NPI 1730121633
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1831670785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 LINWOOD AVE APT 4",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021764732",
            "telephone_number": "716-725-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WALL ST",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034758",
            "telephone_number": "781-221-2600",
            "fax_number": "781-221-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASIAK",
        "first_name": "AMANDA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2298807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea K Janda, PA-C
• Janiene Gresla, D.D.S.,P.C.
• Kristen E. Janko, FNP-BC
• Grace Janusis, PHD
• Brendan Jarzyniecki, PA-C
• Iqra Javeed, M.D.
• Anna K. Javorski, CRNA
• Heather A Jay, NP
• Jeffry W. Waldrop, P.C.
• Jihad Jeha, MD

• Nurse Practitioner in Burlington, MA
• Providers in Burlington, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.

Verify at the official NPI Registry.