Active NPI
Nathan Jepsen, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Charlemont, MA
National Provider Identifier
1861218042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 406221
- Practice address
- 63 Shephard Rd
Charlemont, MA 01339-9720 - Phone
- (413) 325-5264
- Fax
- (413) 296-9271
- NPI assigned
- Dec 3, 2024
- Last updated
- Feb 28, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 406221 | NY | Primary |
Addresses
Primary practice location
63 Shephard Rd
Charlemont, MA 01339-9720
Mailing address
63 Shephard Rd
Charlemont, MA 01339-9720
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250929003707 | MA | Practitioner - Nurse Practitioner | 5395241475 | Practice locations: Charlemont, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Charlemont, MA 01339
Phone (413) 325-5264
94 N Elm St
Suite 208
Westfield, MA 01085-1647
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 406221 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772236800000",
"number": "1861218042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 SHEPHARD RD",
"city": "CHARLEMONT",
"state": "MA",
"postal_code": "013399720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 SHEPHARD RD",
"city": "CHARLEMONT",
"state": "MA",
"postal_code": "013399720",
"telephone_number": "413-325-5264",
"fax_number": "413-296-9271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEPSEN",
"first_name": "NATHAN",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-03",
"last_updated": "2026-02-28",
"certification_date": "2026-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "406221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlemont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; 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.