Individual provider Active NPI

Jessi Lynn Osborne, PA-C

  • Physician Assistant
  • Concord, NH
National Provider Identifier
1861702243
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0797 Issued in NH
Practice address
246 Pleasant Street Memorial Building, West, Floor 1
Concord, NH 03301-5046
Phone
(603) 228-1111
Fax
(603) 226-4314
NPI assigned
Oct 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0797 NH Primary
Physician Assistant 363A00000X PA4104 MA

Addresses

Primary practice location

246 Pleasant Street Memorial Building, West, Floor 1
Concord, NH 03301-5046

Mailing address

246 Pleasant Street Memorial Building, West, Floor 1
Concord, NH 03301-5046
Phone (603) 228-1111

Other identifiers 1

IdentifierTypeStateIssuer
30338487MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20101222000628 NH Practitioner - Physician Assistant 9436347150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138

Hospital & facility affiliations

  • Concord Hospital Hospital, Concord, NH, CCN 300001

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA4104MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Apr 19, 2016 Accepting new patients
Concord Hospital, Inc. CurrentSince Apr 19, 2016 Accepting new patients
Exeter Health Resources Inc Past Accepting new patients

Locations

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

246 Pleasant St
Fl 1-1
Concord, NH 03301

246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388

246 Pleasant St
Fl 1
Concord, NH 03301

189 N Main St
Concord, NH 03301
Phone (603) 228-1111

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.

Hospital & facility affiliations 1

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": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1861702243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 PLEASANT STREET MEMORIAL BUILDING, WEST, FLOOR 1",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015046",
            "telephone_number": "603-228-1111",
            "fax_number": "603-226-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 PLEASANT STREET MEMORIAL BUILDING, WEST, FLOOR 1",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015046",
            "telephone_number": "603-228-1111",
            "fax_number": "603-226-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "JESSI",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0797",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4104",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30338487",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.