Active NPI
Karen Lynn Jeffrey, NP
- Adult Health Nurse Practitioner
- Fairhaven, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 212305
- Practice address
- 200 Mill Rd
Suite 190
Fairhaven, MA 02719-5252 - Phone
- (508) 973-0857
- Fax
- (508) 973-2176
- NPI assigned
- Sep 26, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 212305 | MA | Primary |
Addresses
Primary practice location
200 Mill Rd
Suite 190
Fairhaven, MA 02719-5252
Mailing address
200 Mill Rd
Suite 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kjeffrey5934@direct.southcoast.org |
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 |
|---|---|---|---|---|
| I20051219000271 | MA | Practitioner - Nurse Practitioner | 2961423934 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Great Rd
Acton, MA 01720-5601
Phone (978) 267-3900
Hospital & facility affiliations
- The Miriam Hospital
- Sturdy Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212305 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Jose R. Gutierrez MD PC | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients |
Locations
1 Great Rd
Acton, MA 01720
Phone (978) 263-9101
200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000
200 Mill Rd
Ste 190
Fairhaven, MA 02719
Phone (508) 973-0857
1030 President Ave
Fall River, MA 02720
Phone (508) 235-6427
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
Organizations & group practices 4
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Acton, MA
- NPI 1851987663
MA
-
- Emergency Medicine Physician
- Fairhaven, MA
- NPI 1861830143
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
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": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1861593428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILL RD",
"address_2": "SUITE 180",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195252",
"telephone_number": "508-973-2000",
"fax_number": "508-973-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MILL RD",
"address_2": "SUITE 190",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195252",
"telephone_number": "508-973-0857",
"fax_number": "508-973-2176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFREY",
"first_name": "KAREN",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "212305",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kjeffrey5934@direct.southcoast.org",
"affiliation": "N",
"endpointDescription": "Southcoast Health Epic Direct Address",
"address_1": "200 Mill Rd",
"address_2": "Suite 190",
"city": "Fairhaven",
"state": "MA",
"country_code": "US",
"postal_code": "027195252",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairhaven, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.