Individual provider Active NPI

Jane W Ndegwa, NP

  • Family Nurse Practitioner
  • Boxford, MA
National Provider Identifier
1982685186
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235730 Issued in MA
Practice address
200 Washington St
Boxford, MA 01921-1017
Phone
(781) 962-3060
Fax
(978) 824-3872
NPI assigned
Nov 7, 2005
Last updated
Apr 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 235730 MA Primary

Addresses

Primary practice location

200 Washington St
Boxford, MA 01921-1017

Mailing address

PO Box 3904
Peabody, MA 01961-3904
Phone (781) 883-2919

Other identifiers 1

IdentifierTypeStateIssuer
0701556MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
235730MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bayon Medical Group LLC CurrentSince Apr 16, 2023 Accepting new patients
Healthplus LLC Family CurrentSince Oct 4, 2020 Accepting new patients
Woburn Medical Associates PC Past Accepting new patients
Brookline Family Counseling Center, Inc Past Accepting new patients
National Health Services, Inc Past Accepting new patients
Brighton Family Practice, Inc Past Accepting new patients
Preventive Medicine Associates Past Accepting new patients

Locations

1075 Westford St
Ste 204
Lowell, MA 01851
Phone (978) 452-2000

280 Union St
Ste 402
Lynn, MA 01901
Phone (781) 780-7755

451 Andover St
Ste 110
North Andover, MA 01845
Phone (978) 794-2000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1396483200000",
    "number": "1982685186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3904",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019613904",
            "telephone_number": "781-883-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WASHINGTON ST",
            "city": "BOXFORD",
            "state": "MA",
            "postal_code": "019211017",
            "telephone_number": "781-962-3060",
            "fax_number": "978-824-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDEGWA",
        "first_name": "JANE",
        "middle_name": "W",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "235730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0701556",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boxford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.