Individual provider Active NPI

Jackie Rodriguez, NP

  • Acute Care Nurse Practitioner
  • Holyoke, MA
National Provider Identifier
1982071205
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN 260536 Issued in MA
Practice address
575 Beech St
Holyoke, MA 01040-2223
Phone
(413) 534-2669
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN 260536 MA Primary

Addresses

Primary practice location

575 Beech St
Holyoke, MA 01040-2223

Mailing address

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2669

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
I20151109002294 MA Practitioner - Nurse Practitioner 5991015687 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians

Practice addresses (Care Compare)

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 260536MAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Massachusetts II PC CurrentSince Jan 1, 2021 Accepting new patients
Western Mass Physician Associates Inc Current Accepting new patients
Sound Physicians of Massachusetts, Inc CurrentSince Sep 1, 2016 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Oct 1, 2024 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Oct 1, 2024 Accepting new patients
Sound Physicians of Massachusetts Inc CurrentSince Sep 1, 2016 Accepting new patients
Sound Physicians of Massachusetts Inc Current Accepting new patients
Massachusetts Acute Care Specialists PC CurrentSince Sep 1, 2015 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Sep 6, 2021 Accepting new patients

Locations

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

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

Interoperability endpoints

  • Direct secure messaging: jackie.rodriguez@direct.hmcs.masshiway.net

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1982071205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 BEECH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402223",
            "telephone_number": "413-534-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 BEECH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402223",
            "telephone_number": "413-534-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JACKIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN 260536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.