Ellen Douglas Jessop, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

063716-23 Issued in NH

Practice address

6 Healthcare Drive, Suite 2
Rochester, NH 03867

Phone

(603) 330-3404

Fax

(603) 332-8175

NPI assigned

Apr 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20740/brand/1/csg/1/fhir/r4

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.

• Saco River Medical Group, PC

  • Family Medicine Physician
  • Conway, NH
  • NPI 1861587453
  Medicare reassignment NPD
• Visiting Nurse Home Care & Hospice of Carroll County

  • Community Based Hospice Care Agency
  • North Conway, NH
  • NPI 1720026511
  NPD (past)
• Holyoke Health Center Inc.

  • Community Health Clinic/Center
  • Chicopee, MA
  • NPI 1518948595
  NPD (past)

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1932466620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HEALTHCARE DRIVE, SUITE 2",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "03867",
            "telephone_number": "603-330-3404",
            "fax_number": "603-332-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HEALTHCARE DRIVE, SUITE 2",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "03867",
            "telephone_number": "603-330-3404",
            "fax_number": "603-332-8175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Quincy Ave",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023022803",
            "country_code": "US",
            "telephone_number": "089-417-2685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESSOP",
        "first_name": "ELLEN",
        "middle_name": "DOUGLAS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2283305",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "063716-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pooja Sona Jagadish, M.D.
• James H Bress MD PA
• Jane L. Forrest MD, PA
• Angela L Jellison, MD
• Kathryn Jennings, PA-C
• Amit Joglekar, M.D.,
• Kaci Elizabeth Johnson, APRN
• Cheyenne Jones
• Kayla Jones, SSP, NCSP
• Jordan Family Eyecare Inc

• Adult Health Nurse Practitioner in Rochester, NH
• Providers in Rochester, NH by specialty
• Adult Health Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.