Anna Jaques Hospital

Organization Active NPI General Acute Care Hospital · Newburyport, MA

NPI 1992779482 · NPPES record last updated Aug 12, 2026

Key facts

NPI
1992779482
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
30 (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
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 7

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

Member organizations 6

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

Facilities with the same owner 18

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

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 43

Affiliated clinicians 717

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

View all 717

Medicare Care Compare: Hospital

Listed as
Anna Jaques Hospital CCN 220029
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

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
Corporation · Non-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

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 Director
Board Member
Mar 1, 2013
Jamie Katz
Individual
Corporate Officer
Clerk
Mar 1, 2019
Nicole Nadeau
Individual
Corporate Director
Board Member
Oct 1, 2023
Wilbur Shenk
Individual
Corporate Director
Board Member
Oct 1, 2015
Kevin M Tabb
Individual
Corporate Officer
Ceo
Mar 1, 2019
Michael a Costello
Individual
Corporate Director
Board Member
Mar 1, 2017
Mary Anne Clancy
Individual
Corporate Director
Board Member
Jan 1, 2024
Noemi Custodia-Lora
Individual
Corporate Director
Board Member
Oct 1, 2022
Frank Cousins
Individual
Corporate Director
Board Member
Mar 1, 2012
Peter E Seymour
Individual
Corporate Director
Board Member
Oct 1, 2015
Margaret M Wiley
Individual
Corporate Director
Board 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 Director
Board Member
Mar 1, 2017
Patricia Cannon
Individual
Corporate Director
Board Member
Oct 1, 2021
David Laflamme
Individual
Corporate Director
Board Member
Nov 30, 2007
Matthew Pieniazek
Individual
Corporate Director
Board Member
Oct 1, 2021
John Kerndl
Individual
Corporate Officer
Treasurer
Apr 1, 2021
Glenn D. Focht
Individual
W-2 Managing Employee
Chief Medical Officer
Nov 29, 2021
Elizabeth Purinton
Individual
Corporate Director
Board Member
Oct 1, 2021
Saira Naseer
Individual
Corporate Director
Board Member
Oct 1, 2022
Christopher Bouton
Individual
Corporate Director
Board Member
Oct 1, 2021
Claire Y Fung
Individual
Corporate Director
Board Member
Oct 1, 2021
Dewayne M Pursley
Individual
Corporate Director
Board Member
Mar 1, 2013
Joshua L Tarkan
Individual
Corporate Director
Board Member
Oct 1, 2021
Timothy Felter
Individual
Corporate Director
Board Member
Oct 1, 2021
Wayne Capolupo
Individual
Corporate Director
Board Member
Nov 30, 2007
Nathan Allard
Individual
Corporate Director
Board Member
Oct 1, 2023
Michael T Rowan
Individual
Corporate Officer
Executive Vice President
Mar 1, 2019
Gregory Beaumier
Individual
Corporate Officer
Chief Financial Officer
Jan 17, 2024
Matthew Khatib
Individual
Corporate Director
Board Member
Oct 1, 2021
Grace Gonzalez Connolly
Individual
Corporate Director
Board Member
Nov 4, 2009
Christopher Lindner
Individual
Corporate Director
Board Member
Oct 1, 2023
Jeffrey Kirpas
Individual
Corporate Director
Board Member
Mar 3, 2011
Jean Trim
Individual
Corporate Director
Board Member
Oct 1, 2021

Medicare enrollment records

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

National Provider Directory

Locations

600 Primrose St
Ste 202
Haverhill, MA 01830
Phone (978) 556-0100

25 Storey Ave
Ste 1
Newburyport, MA 01950

21 Highland Ave
Ste 16
Newburyport, MA 01950
Phone (877) 732-6960

13 Market St
Lowr
Newburyport, MA 01950

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 683 MA
General Acute Care Hospital 282N00000X 30 MA Yes
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

IdentifierTypeStateIssuer
220029OtherMAMEDICARE
22S029OtherMAMEDICARE
1200119MedicaidMA
1000357MedicaidMA

Other providers in Newburyport, MA

All providers in Newburyport, MA · General Acute Care Hospital in Massachusetts

Sources for this page

Verify at the official NPI Registry.