Active NPI
Jocelyn A Bresnahan, NP
- Adult Health Nurse Practitioner
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 161594
- Practice address
- 1 Pearl St
Suite 2400
Brockton, MA 02301-2864 - Phone
- (508) 897-6130
- Fax
- (508) 897-6135
- NPI assigned
- Nov 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 161594 | MA | Primary |
Addresses
Primary practice location
1 Pearl St
Suite 2400
Brockton, MA 02301-2864
Mailing address
1 Pearl St
Suite 2400
Brockton, MA 02301-2864
Phone (508) 897-6130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0399795 | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Pearl St
Suite 2400
Brockton, MA 02301-2865
Phone (508) 897-6050
Hospital & facility affiliations
- Good Samaritan Medical Center
- Signature Healthcare Brockton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161594 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Medical of Massachusetts, PC | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Good Samaritan Medical Practice Corp | Past | Accepting new patients | |
| Steward Medical Group Inc. | Past | Accepting new patients | |
| Signature Healthcare Medical Group Inc | Past | Accepting new patients | |
| Medical Care of Boston Management Corporation | Past | Accepting new patients | |
| Stewart and Stewart a Medical Corporation | Past | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
77 Warren St
Fl 5
Brighton, MA 02135
Phone (617) 254-3376
830 Oak St
Ste 123E
Brockton, MA 02301
Phone (508) 588-0832
1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050
1 Pearl St
Ste 2400
Brockton, MA 02301
Phone (508) 897-6050
15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
907 Sumner St
Ste 202
Stoughton, MA 02072
Phone (781) 297-8020
Interoperability endpoints
- jocelyn.bresnahan.1@32866.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1336976539
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Specialist
- Brockton, MA
- NPI 1285625137
-
- Internal Medicine Physician
- Needham, MA
- NPI 1437196359
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
-
- Cardiac Rehabilitation Clinic/Center
- Brighton, MA
- NPI 1760086599
-
- Family Medicine Physician
- Alhambra, CA
- NPI 1306058565
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1871329110
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982685095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PEARL ST",
"address_2": "SUITE 2400",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012864",
"telephone_number": "508-897-6130",
"fax_number": "508-897-6135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PEARL ST",
"address_2": "SUITE 2400",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012864",
"telephone_number": "508-897-6130",
"fax_number": "508-897-6135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESNAHAN",
"first_name": "JOCELYN",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "161594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0399795",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.