Individual provider Active NPI

Jamie Chandonnet

  • Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1982102695
Registry record updated Jan 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2279911 Issued in MA
Practice address
1985 Main St Ste E
Springfield, MA 01103-1016
Phone
(413) 736-1458
NPI assigned
Jan 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2018

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 RN2279911 MA Primary

Addresses

Primary practice location

1985 Main St Ste E
Springfield, MA 01103-1016

Mailing address

11 Woodland Dell Rd
Wilbraham, MA 01095-1734
Phone (413) 262-9781

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
I20190320003097 MA Practitioner - Nurse Practitioner 7012257454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Wellness Centers LLCGroup PAC ID 2860536919, 39 clinicians

Practice addresses (Care Compare)

170 Main St
Tewksbury, MA 01876-1765
Phone (781) 348-9041

1985 Main St
Suite E
Springfield, MA 01103-1016
Phone (413) 736-1458

201 S Main St
Suite 3
Athol, MA 01331-2117
Phone (978) 248-0442

306 Race St
FL 2
Holyoke, MA 01040-5720
Phone (413) 650-0590

489 Bernardston Rd
Suite 108
Greenfield, MA 01301-1239
Phone (413) 376-4343

900 Memorial Ave
West Springfield, MA 01089-3557
Phone (413) 584-2173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc CurrentSince May 1, 2020 Accepting new patients
Total Wellness Centers, LLC CurrentSince Feb 5, 2019 Accepting new patients
Total Wellness Centers, LLC CurrentSince Feb 5, 2019 Accepting new patients
Riverbend Medical Group, Inc. CurrentSince May 1, 2020 Accepting new patients

Locations

306 Race St
#2
Holyoke, MA 01040
Phone (413) 455-3405

59 Bobala Rd
Holyoke, MA 01040
Phone (413) 486-7819

305 Bicentennial Hwy
Springfield, MA 01118
Phone (413) 733-4101

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

1985 Main St
Ste E
Springfield, MA 01103
Phone (413) 361-4587

900 Memorial Ave
West Springfield, MA 01089
Phone (413) 739-9001

Organizations & group practices 4

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": "1517097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517097600000",
    "number": "1982102695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WOODLAND DELL RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951734",
            "telephone_number": "413-262-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 MAIN ST STE E",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031016",
            "telephone_number": "413-736-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDONNET",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-28",
        "last_updated": "2018-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2279911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.