JESSICA LEE TADDEO (APRN) – Family Nurse Practitioner, NPI 1104546019
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for JESSICA LEE TADDEO (APRN)
348 Greenwood St
Worcester, MA 016071728
Phone: (774) 420-2103
Type: Location
16 HADLEY PATH
WEST BROOKFIELD, MA 015852753
Phone: (508) 887-5083
Type: Mailing
348 GREENWOOD ST
WORCESTER, MA 016071728
Phone: (774) 420-2103
Type: Location
500 Lincoln St
Worcester, MA 016051916
Phone: (774) 420-2111
Type: Location
3120 STONINGTON RUN
KISSIMMEE, FL 347462124
Phone: (508) 887-5083
Type: Mailing
325 CYPRESS PKWY
KISSIMMEE, FL 347593326
Phone: (407) 530-2000
Type: Location
500 LINCOLN ST
WORCESTER, MA 016051916
Phone: (774) 420-2111
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: 2025-12-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221123002909 | I | Nurse Practitioner | FL | TBD |
| I20251216003369 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 44 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 39 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 33 | 33 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 32 | 32 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $0 |
Insurance plans in this area (ZIP 01607)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| - | MA | |
| Physician Assistant | MA | |
| Nurse Practitioner | RI | |
| Physician Assistant | MA | |
| Physician Assistant | NY | |
| Physician Assistant | MA | |
| Physician Assistant | MA | |
| - | MA | |
| - | MA |
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