DR. JESSICA ANDRADE (DO) – Sports Medicine (Family Medicine) Physician, NPI 1023514056

DR. JESSICA ANDRADE (DO) is a healthcare provider. based in Worcester, Massachusetts. specializing in SPORTS MEDICINE. They hold the professional credentials DO. They hold a License No. 287799 (MA). The NPI Number for DR. JESSICA ANDRADE (DO) is 1023514056

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSICA ANDRADE (DO)
NPI
1023514056
Phone
(508) 334-1000
Address
55 LAKE AVE N
Enumeration Date
30 March 2018
Last Update Date
14 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
9783733851
Graduation Year
2018 (8 years ago)
PAC ID
4981952256
Group Practice PAC ID
1759273436
Professional Enrollment ID
I20220930000856
Address ID
MA018306674HA288XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

164 SPORTS MEDICINE in MA

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Provider Addresses for DR. JESSICA ANDRADE (DO)

  • UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 016550002

    Phone: (508) 334-1000

    Type: Location

  • 370 MERRIMACK ST BLDG 5

    LAWRENCE, MA 018431788

    Phone: (978) 557-8771

    Type: Mailing

  • 231 SUTTON ST

    NORTH ANDOVER, MA 018451620

    Phone: (978) 373-3851

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220930000856ISports MedicineMATBD
I20230203001461ISports MedicineNHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1040Injection, methylprednisolone acetate, 80 mg215123$0
99214Established patient office or other outpatient visit, 30-39 minutes212129$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance187100$0
99213Established patient office or other outpatient visit, 20-29 minutes163114$0
99203New patient office or other outpatient visit, 30-44 minutes3434$0
View full utilization report →

Insurance plans in this area (ZIP 01655)

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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: 1759273436View full group profile
NameSpecialtyState
P A T H O L O G YMA
Nurse PractitionerNY
Diagnostic RadiologyME
Physician AssistantMA
Diagnostic RadiologyMI
Diagnostic RadiologyMA
Diagnostic RadiologyOH
P A T H O L O G YMA
Family Practice, Osteopathic Manipulative MedicineMA
Diagnostic Radiology, Interventional RadiologyNY

Reviews

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Frequently asked questions

Is DR. JESSICA ANDRADE (DO) listed with a National Provider Identifier?
Yes — DR. JESSICA ANDRADE (DO) has NPI 1023514056 on file in the registry.
Active or inactive — what applies to DR. JESSICA ANDRADE (DO)?
You should see DR. JESSICA ANDRADE (DO) as active in CMS-hosted NPPES data.
How would a patient describe DR. JESSICA ANDRADE (DO)'s focus?
For DR. JESSICA ANDRADE (DO), the primary taxonomy reads as Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is DR. JESSICA ANDRADE (DO) registered?
Use Worcester, Massachusetts as the headline location for DR. JESSICA ANDRADE (DO) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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