Individual provider Active NPI

Jennifer Lynn Patten, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • South Yarmouth, MA
National Provider Identifier
1891720546
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
230182 Issued in MA
Practice address
93 N Main St
South Yarmouth, MA 02664-3117
Phone
(508) 367-5572
Fax
(888) 862-4414
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 030984 CT
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 230182 MA Primary

Addresses

Primary practice location

93 N Main St
South Yarmouth, MA 02664-3117

Mailing address

93 N Main St
South Yarmouth, MA 02664-3117
Phone (508) 367-5572

Other names 1

  • Jennifer Cook Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061108000379 MA Practitioner - EndocrinologyPractitioner - Internal Medicine 3173561487 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Truenorth360 Medical LLC CurrentSince Nov 5, 2023 Accepting new patients
Vantage Healthcare LLC CurrentSince Apr 23, 2024 Accepting new patients
Starling Physicians, PLLC Endocrinology, Diabetes & Metabolism Past Accepting new patients
Elmir Sehic M.D.P.C/ Past Accepting new patients
Medical Affiliates of Cape Cod, Inc. Endocrinology, Diabetes & Metabolism Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Maplewood Mayflower Place SNF LLC Past Accepting new patients

Locations

45 Dan Rd
Canton, MA 02021
Phone (781) 318-3609

111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1891720546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 N MAIN ST",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026643117",
            "telephone_number": "508-367-5572",
            "fax_number": "888-862-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 N MAIN ST",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026643117",
            "telephone_number": "508-367-5572",
            "fax_number": "888-862-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CT",
            "license": "030984",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "230182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COOK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Yarmouth, MA

Sources for this page

Verify at the official NPI Registry.