Individual provider Active NPI

Jan Amorello, NP

  • Family Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1861903395
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235236 Issued in MA
Practice address
818 Oak St
Brockton, MA 02301-1107
Phone
(508) 427-2900
Fax
(508) 427-2901
NPI assigned
Oct 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 235236 MA Primary

Addresses

Primary practice location

818 Oak St
Brockton, MA 02301-1107

Mailing address

818 Oak St
Brockton, MA 02301-1107
Phone (508) 427-2900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180420000458 MA Practitioner - Nurse Practitioner 3870856081 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

818 Oak St
Brockton, MA 02301-1262
Phone (617) 789-2244

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jan 1, 2022 Accepting new patients
Steward Good Samaritan Radiation Oncology Center, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 1, 2022 Accepting new patients
Boston Medical Center - South Corporation CurrentSince Oct 1, 2024 Accepting new patients
Sma Oncology Consulting, LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

818 Oak St
Brockton, MA 02301
Phone (508) 427-2900

70 Walnut St
Ste 100
Foxborough, MA 02035
Phone (508) 698-3266

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

15 Roche Brothers Way
Ste 110
North Easton, MA 02356
Phone (781) 792-6500

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1861903395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 OAK ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011107",
            "telephone_number": "508-427-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 OAK ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011107",
            "telephone_number": "508-427-2900",
            "fax_number": "508-427-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMORELLO",
        "first_name": "JAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "235236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.