JESSICA CHIPMAN – Psychiatric/Mental Health Nurse Practitioner, NPI 1043196751

JESSICA CHIPMAN is a healthcare provider. based in Harwich port, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2344867 (MA). The NPI Number for JESSICA CHIPMAN is 1043196751

Main info

Female
0 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA CHIPMAN
NPI
1043196751
Phone
(508) 905-2858
Address
710 ROUTE 28
Enumeration Date
15 August 2025
Last Update Date
27 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083493131
Graduation Year
2026 (0 years ago)
PAC ID
6608359930
Group Practice PAC ID
4385554971
Professional Enrollment ID
I20260313003087
Address ID
MA026677402WE3130X6XXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for JESSICA CHIPMAN

  • 710 ROUTE 28

    HARWICH PORT, MA 026461931

    Phone: (508) 905-2858

    Fax: (401) 291-6818

    Mailing address matches the actual address.

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: 2026-03-13

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
I20260313003087INurse 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 02646)

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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: 4385554971View full group profile
NameSpecialtyState
Internal MedicineMA
Family PracticeMA
Internal Medicine, Pediatric MedicineMA
Physician AssistantOR
O P T O M E T R YMA
Physician AssistantMA
Nurse PractitionerMA
-MA
-MA
Nurse PractitionerRI

Reviews

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Frequently asked questions

Can I cross-check JESSICA CHIPMAN using NPI 1043196751?
NPI 1043196751 belongs to JESSICA CHIPMAN; compare other details if you need extra assurance.
Is JESSICA CHIPMAN shown as active in public data?
Registry records indicate JESSICA CHIPMAN maintains an active NPI.
What expertise is attributed to JESSICA CHIPMAN?
JESSICA CHIPMAN's specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JESSICA CHIPMAN located near Harwich Port?
JESSICA CHIPMAN currently maps to Harwich Port, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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