Individual provider Active NPI

Jennifer L. Lesperance, NP

  • Nurse Practitioner
  • Northampton, MA
National Provider Identifier
1982649729
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
233192 Issued in MA
Practice address
30 Locust Street
Cooley Dickinson Hospitalist Program
Northampton, MA 01060
Phone
(413) 582-2563
Fax
(413) 582-2566
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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 233192 MA Primary

Addresses

Primary practice location

30 Locust Street
Cooley Dickinson Hospitalist Program
Northampton, MA 01060

Mailing address

24 Williston Ave
Easthampton, MA 01027-2219
Phone (413) 529-1847

Other identifiers 1

IdentifierTypeStateIssuer
NP4836OtherMABCBS OF MASS

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
I20041208000534 MA Practitioner - Nurse Practitioner 3779549043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233192MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Medical Center, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

262 New Ludlow Rd
Chicopee, MA 01020
Phone (413) 535-4714

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

Interoperability endpoints

  • Direct secure messaging: lesperance.jennifer.cdh@direct.partners.masshiway.net

Organizations & group practices 3

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 4

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1982649729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WILLISTON AVE",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010272219",
            "telephone_number": "413-529-1847",
            "fax_number": "413-582-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LOCUST STREET",
            "address_2": "COOLEY DICKINSON HOSPITALIST PROGRAM",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "01060",
            "telephone_number": "413-582-2563",
            "fax_number": "413-582-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESPERANCE",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "233192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASS",
            "identifier": "NP4836",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.