JESSICA ANDERSON – Registered Nurse, NPI 1104220805
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for JESSICA ANDERSON
45 HOME DEPOT DR STE 100
PLYMOUTH, MA 023602669
Phone: (508) 732-6770
Type: Location
1055 CLERMONT STREET
DENVER, CO 80220
Phone: (303) 399-8020
Type: Mailing
1055 CLERMONT ST
DENVER, CO 802203808
Phone: (303) 399-8020
Type: Location
51 MILL ST., BLDG F, SUITE A
HANOVER, MA 02339
Phone: (781) 337-0201
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $922.
Total Amount is formed as General ($922) + Research ($0) + Ownership ($0) = $922.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Antares Pharma, Inc. ($135).
Total Amount
$922
General + Research + Ownership
Payments
36
Total payment records
General Amount
$922
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Antares Pharma, Inc. | $135 |
| Sumitomo Pharma America, Inc. | $108 |
| Endo USA, Inc. | $103 |
| Ferring Pharmaceuticals Inc. | $75 |
| IMMUNITYBIO, INC. | $50 |
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: 2024-03-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240320002658 | I | Nurse Practitioner | MA | TBD |
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.
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 02360)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | MA | |
| - | FL | |
| Diagnostic Radiology | MA | |
| - | MA | |
| Physician Assistant | PA | |
| - | MA | |
| U R O L O G Y | MA | |
| Physician Assistant | MA | |
| U R O L O G Y | MA | |
| U R O L O G Y | MA |
Reviews
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