Individual provider Active NPI

Jennifer Lynn Couillard, NP-C

  • Nurse Practitioner
  • North Andover, MA
National Provider Identifier
1952072910
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2339475 Issued in MA
Practice address
47 High St Ste 101
North Andover, MA 01845-2662
Phone
(978) 655-3303
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2339475 MA Primary

Addresses

Primary practice location

47 High St Ste 101
North Andover, MA 01845-2662

Mailing address

47 High St Ste 101
North Andover, MA 01845-2662
Phone (978) 655-3303

Other names 1

  • Jennifer Lynn Stirling 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220207002242 MA Practitioner - Nurse Practitioner 8527451905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

70 Fulton St
Boston, MA 02109-1402
Phone (617) 843-5001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC Nurse Practitioner CurrentSince Jan 31, 2025 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

70 Fulton St
Boston, MA 02109
Phone (617) 726-9700

40 Parkhurst Rd
Chelmsford, MA 01824
Phone (978) 251-3151

184 Main St
Fairhaven, MA 02719
Phone (508) 742-3737

Organizations & group practices 1

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": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1952072910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 HIGH ST STE 101",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452662",
            "telephone_number": "978-655-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 HIGH ST STE 101",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452662",
            "telephone_number": "978-655-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUILLARD",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2339475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "STIRLING",
            "middle_name": "LYNN",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.