Active NPI
Jennifer A Kushmerek, PCNS
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN229823
- Practice address
- 1 Boston Medical Center Place
Boston, MA 02118 - Phone
- (617) 414-5245
- Fax
- (617) 414-5520
- NPI assigned
- Mar 9, 2007
- Last updated
- May 26, 2023
- Sex
- Female
- Sole proprietor
- No
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 Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | RN229823 | MA | Primary |
Addresses
Primary practice location
1 Boston Medical Center Place
Boston, MA 02118
Mailing address
86 Whitcomb Ave
Jamaica Plain, MA 02130
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
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1180 Beacon St
Suite 6a
Brookline, MA 02446-3806
Phone (617) 804-0260
200 Chauncy St
Suite 208
Mansfield, MA 02048-1200
Phone (617) 372-1407
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose Paolini, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Bay Cove Human Services Inc | Current | Accepting new patients | |
| Bay Cove Human Services, Inc | Current | Accepting new patients | |
| Bay Cove Human Services, Inc | Current | Accepting new patients | |
| Measured Wellness LLC | Current | Accepting new patients | |
| Goodall & Paolini LLC | Past | Accepting new patients |
Locations
170 Morton St
#12S
Boston, MA 02130
Phone (617) 318-5118
66 Canal St
Boston, MA 02114
Phone (617) 371-3040
1180 Beacon St
Ste 6A
Brookline, MA 02446
Phone (617) 804-0260
200 Chauncy St
Ste 208
Mansfield, MA 02048
Phone (617) 372-1407
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.
-
- Psychiatry Physician
- Boston, MA
- NPI 1588273320
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- East Bridgewater, MA
- NPI 1184199630
-
- Community/Behavioral Health Agency
- Boston, MA
- NPI 1386702264
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hyannis, MA
- NPI 1386355519
-
- Community/Behavioral Health Agency
- Boston, MA
- NPI 1497981591
-
- Geriatric Psychiatry Physician
- Westborough, MA
- NPI 1629381660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1891827580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 WHITCOMB AVE",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "02130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BOSTON MEDICAL CENTER PLACE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-414-5245",
"fax_number": "617-414-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSHMEREK",
"first_name": "JENNIFER",
"middle_name": "A",
"credential": "PCNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "MA",
"license": "RN229823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.