NPIMap

Organization Active NPI

Anna Jaques Hospital

  • General Acute Care Hospital
  • Newburyport, MA
National Provider Identifier
1992779482
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
30 Issued in MA
Legal business name
ANNA JAQUES HOSPITAL
Practice address
25 Highland Ave
Newburyport, MA 01950-3867
Phone
(978) 463-1000
Fax
(978) 834-8108
NPI assigned
Feb 14, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Mr. Gregory Beaumier
Title
Chief Financial Officer
Phone
(978) 816-2937

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 683 MA
General Acute Care Hospital 282N00000X 30 MA Primary
Skilled Nursing Facility 314000000X 4004 MA

Addresses

Primary practice location

25 Highland Ave
Newburyport, MA 01950-3867

Mailing address

25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 463-1000

Other identifiers 4

IdentifierTypeStateIssuer
1200119MedicaidMA
1000357MedicaidMA
220029OtherMAMEDICARE
22S029OtherMAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071210000208 MA Part A Provider - Hospital 6406949213 Practice locations: Amesbury, MA; Newburyport, MA; Haverhill, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992779482. Details of each certification follow.

Hospital certification: CCN 220029

Legal name
ANNA JAQUES HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 30, 2019
Beds
123
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 20, 1884 in MA
Enrollment address
25 Highland Ave
Newburyport, MA 19503867
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric unit

Care Compare: Hospital

Medicare Care Compare
Listed as
Anna Jaques HospitalCCN 220029 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Locations

13 Market St
Lowr
Newburyport, MA 01950

25 Storey Ave
Ste 1
Newburyport, MA 01950

Ownership & related parties

All disclosed owners & managing parties 34

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Virginia M Eramo Individual Corporate DirectorBoard Member Mar 1, 2013
Jamie Katz Individual Corporate OfficerClerk Mar 1, 2019
Nicole Nadeau Individual Corporate DirectorBoard Member Oct 1, 2023
Wilbur Shenk Individual Corporate DirectorBoard Member Oct 1, 2015
Kevin M Tabb Individual Corporate OfficerCeo Mar 1, 2019
Michael a Costello Individual Corporate DirectorBoard Member Mar 1, 2017
Mary Anne Clancy Individual Corporate DirectorBoard Member Jan 1, 2024
Noemi Custodia-Lora Individual Corporate DirectorBoard Member Oct 1, 2022
Frank Cousins Individual Corporate DirectorBoard Member Mar 1, 2012
Peter E Seymour Individual Corporate DirectorBoard Member Oct 1, 2015
Margaret M Wiley Individual Corporate DirectorBoard Member Mar 1, 2017
Beth Israel Lahey Health, Inc. Organization, Boston, MA Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2019 100%
Salman S Ghiasuddin Individual Corporate DirectorBoard Member Mar 1, 2017
Patricia Cannon Individual Corporate DirectorBoard Member Oct 1, 2021
David Laflamme Individual Corporate DirectorBoard Member Nov 30, 2007
Matthew Pieniazek Individual Corporate DirectorBoard Member Oct 1, 2021
John Kerndl Individual Corporate OfficerTreasurer Apr 1, 2021
Glenn D. Focht Individual W-2 Managing EmployeeChief Medical Officer Nov 29, 2021
Elizabeth Purinton Individual Corporate DirectorBoard Member Oct 1, 2021
Saira Naseer Individual Corporate DirectorBoard Member Oct 1, 2022
Christopher Bouton Individual Corporate DirectorBoard Member Oct 1, 2021
Claire Y Fung Individual Corporate DirectorBoard Member Oct 1, 2021
Dewayne M Pursley Individual Corporate DirectorBoard Member Mar 1, 2013
Joshua L Tarkan Individual Corporate DirectorBoard Member Oct 1, 2021
Timothy Felter Individual Corporate DirectorBoard Member Oct 1, 2021
Wayne Capolupo Individual Corporate DirectorBoard Member Nov 30, 2007
Nathan Allard Individual Corporate DirectorBoard Member Oct 1, 2023
Michael T Rowan Individual Corporate OfficerExecutive Vice President Mar 1, 2019
Gregory Beaumier Individual Corporate OfficerChief Financial Officer Jan 17, 2024
Matthew Khatib Individual Corporate DirectorBoard Member Oct 1, 2021
Grace Gonzalez Connolly Individual Corporate DirectorBoard Member Nov 4, 2009
Christopher Lindner Individual Corporate DirectorBoard Member Oct 1, 2023
Jeffrey Kirpas Individual Corporate DirectorBoard Member Mar 3, 2011
Jean Trim Individual Corporate DirectorBoard Member Oct 1, 2021

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

Affiliated clinicians 716

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 716

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1992779482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND AVE",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503867",
            "telephone_number": "978-463-1000",
            "fax_number": "978-834-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND AVE",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503867",
            "telephone_number": "978-463-1000",
            "fax_number": "978-834-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA JAQUES HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "BEAUMIER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "978-816-2937",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MA",
            "license": "683",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "30",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "4004",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200119",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000357",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "220029",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "22S029",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.