Individual provider Active NPI

Jamie Folan, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1962954560
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN2279190 Issued in MA
Practice address
680 Centre St
Brockton, MA 02302-3308
Phone
(508) 941-7299
Fax
(508) 941-6299
NPI assigned
Oct 30, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 10

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Massachusetts LLC 85 clinicians
CH Specialty Services Ma PC 87 clinicians

Practice addresses (Care Compare)

819 Worcester St
Suite 1
Springfield, MA 01151-1056
Phone (413) 604-5201

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20180328002627 MA Practitioner - Nurse Practitioner 0143503961 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2279190MAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Ma PC CurrentSince Jan 10, 2024 Accepting new patients
Ipc Hospitalists of New England PC CurrentSince Feb 19, 2018 Accepting new patients
Sound Physicians of Massachusetts, Inc CurrentSince Jan 1, 2023 Accepting new patients
Sound Physicians of Massachusetts Inc Current Accepting new patients
Ipc Hospitalists of New England, P.C. Acute Care CurrentSince Feb 19, 2018 Accepting new patients
Signature Healthcare Medical Group Inc CurrentSince Apr 1, 2020 Accepting new patients
Ipc Hospitalists of New England, P.C. Acute Care Current Accepting new patients
Vantage Healthcare LLC CurrentSince Sep 14, 2020 Accepting new patients
Curana Health of Massachusetts LLC CurrentSince Jun 14, 2021 Accepting new patients
Sound Physicians of Massachusetts, Inc CurrentSince Jan 1, 2023 Accepting new patients

Locations

277 Washington St
Abington, MA 02351
Phone (781) 871-0200

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

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

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

67 Union St
Natick, MA 01760
Phone (508) 383-1104

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

37 State Highway 6A
Sandwich, MA 02563
Phone (508) 888-8222

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

819 Worcester St
Ste 1
Springfield, MA 01151
Phone (337) 408-0805

Interoperability endpoints

  • Direct secure messaging: jamie.folan@direct.signature.masshiway.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN2279190 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

680 Centre St
Brockton, MA 02302-3308

Mailing address

331 County Rd
Hanson, MA 02341-1614

Other practice location 1

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 27, 2020.

{
    "created_epoch": "1477785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1962954560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 COUNTY RD",
            "city": "HANSON",
            "state": "MA",
            "postal_code": "023411614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308",
            "telephone_number": "508-941-7299",
            "fax_number": "508-941-6299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Cass Ave",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028954705",
            "country_code": "US",
            "telephone_number": "401-769-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOLAN",
        "first_name": "JAMIE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-30",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN2279190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.