JESSIN VARGHESE (RN/NP) – Acute Care Nurse Practitioner, NPI 1457603052

JESSIN VARGHESE (RN/NP) is a healthcare provider. based in Boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials RN/NP. They hold a License No. RN2268752 (MA). The NPI Number for JESSIN VARGHESE (RN/NP) is 1457603052

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JESSIN VARGHESE (RN/NP)
NPI
1457603052
Phone
(800) 225-8885
Address
PO BOX 415348
Enumeration Date
5 October 2012
Last Update Date
21 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4694381406
Graduation Year
2012 (14 years ago)
PAC ID
4688828890
Group Practice PAC ID
4789054511
Professional Enrollment ID
I20130215000239
Address ID
MA024922470NE15XXXSTXX303
Telehealth
Yes

Contacts

Secure Messaging
jvarghese23919@UmassMemorial.direct-ci.com
FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

8,971 NURSE PRACTITIONER in MA

Provider Addresses for JESSIN VARGHESE (RN/NP)

  • PO BOX 415348

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 334-1977

    Type: Mailing

  • 55 LAKE AVE N

    DIABETES

    WORCESTER, MA 016550002

    Phone: (508) 334-3206

    Fax: (774) 442-4668

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $174.

Total Amount is formed as General ($174) + Research ($0) + Ownership ($0) = $174.

Last reported payment date: 2023-06-25 • Largest payer in this snapshot: Medtronic, Inc. ($152).

Total Amount

$174

General + Research + Ownership

Payments

2

Total payment records

General Amount

$174

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-25

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: 2013-02-15

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
I20130215000239INurse 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 02241)

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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: 4789054511View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeIL
Registered Dietitian Or Nutrition ProfessionalCT
Nurse PractitionerMA
Internal MedicineMA
Family PracticeCA
Nurse PractitionerMA
Internal MedicineCT
E N D O C R I N O L O G YMA

Reviews

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Frequently asked questions

Is JESSIN VARGHESE (RN/NP) listed with a National Provider Identifier?
Yes — JESSIN VARGHESE (RN/NP) has NPI 1457603052 on file in the registry.
Is JESSIN VARGHESE (RN/NP) shown as active in public data?
Registry records indicate JESSIN VARGHESE (RN/NP) maintains an active NPI.
What kind of doctor is JESSIN VARGHESE (RN/NP)?
JESSIN VARGHESE (RN/NP) is associated with Acute Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is JESSIN VARGHESE (RN/NP) located near Boston?
JESSIN VARGHESE (RN/NP) currently maps to Boston, Massachusetts in this extract.
Does JESSIN VARGHESE (RN/NP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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