JIMMY PACOMBE – Psychiatric/Mental Health Nurse Practitioner, NPI 1013214337

JIMMY PACOMBE is a healthcare provider. based in Dedham, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. LN85190 (MA). The NPI Number for JIMMY PACOMBE is 1013214337

Main info

Male
4 Years Of Experience
Name
JIMMY PACOMBE
NPI
1013214337
Phone
(781) 329-0909
Address
450 WASHINGTON ST
Enumeration Date
23 February 2011
Last Update Date
20 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087424424
Graduation Year
2022 (4 years ago)
PAC ID
3274909924
Group Practice PAC ID
3779578174
Professional Enrollment ID
I20221020000987
Address ID
MA023017122BR30XXXRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for JIMMY PACOMBE

  • 450 WASHINGTON ST

    DEDHAM, MA 020264455

    Phone: (781) 329-0909

    Type: Mailing

  • 15 BEACON AVE

    NORWOOD, MA 020622018

    Phone: (781) 769-8674

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $155.

Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: ABBVIE INC. ($92).

Total Amount

$155

General + Research + Ownership

Payments

8

Total payment records

General Amount

$155

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221020000987INurse PractitionerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02026)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779578174View full group profile
NameSpecialtyState
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
Nurse PractitionerMA
Clinical Social WorkerOK
P S Y C H I A T R YOH
Nurse PractitionerMA
-MA
Clinical Social WorkerMA
Mental Health CounselorMA

Reviews

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Frequently asked questions

Where can patients find JIMMY PACOMBE's NPI?
You can confirm JIMMY PACOMBE with NPI 1013214337; it appears in the national provider directory.
Is JIMMY PACOMBE's NPI currently valid?
The extract we use shows JIMMY PACOMBE as active.
Can you summarize JIMMY PACOMBE's specialty in plain language?
Clinically, the directory lists JIMMY PACOMBE with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for JIMMY PACOMBE?
We surface Dedham, Massachusetts for JIMMY PACOMBE based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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