Individual provider Active NPI

Jennifer A Kushmerek, PCNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Boston, MA
National Provider Identifier
1891827580
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
RN229823 Issued in MA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000335 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 9234319419 Reassigns benefits to 3 organizations

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
Measured Wellness LLCGroup PAC ID 4082029533, 5 clinicians
Rose Paolini LLCGroup PAC ID 6507101805, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Rose Paolini, LLC Psychiatric/Mental Health CurrentSince Dec 3, 2025 Accepting new patients
Bay Cove Human Services Inc CurrentSince Jan 22, 2017 Accepting new patients
Bay Cove Human Services, Inc Current Accepting new patients
Bay Cove Human Services, Inc CurrentSince Jan 22, 2017 Accepting new patients
Measured Wellness LLC CurrentSince Sep 4, 2025 Accepting new patients
Goodall & Paolini LLC PastSince Dec 3, 2025 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.

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

Verify at the official NPI Registry.