JAMIE CHAN – Family Medicine Physician, NPI 1477131381

JAMIE CHAN is a healthcare provider. based in Norwood, Massachusetts. specializing in FAMILY PRACTICE. They hold a License No. 1018972 (MA). The NPI Number for JAMIE CHAN is 1477131381

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE CHAN
NPI
1477131381
Phone
(508) 928-7668
Address
3 EDGEWATER DR STE 102
Enumeration Date
31 March 2021
Last Update Date
5 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
5089287668
Graduation Year
2021 (5 years ago)
PAC ID
4082017165
Group Practice PAC ID
2668782137
Professional Enrollment ID
I20240819002911
Address ID
MA020624642NO3XXXXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,900 FAMILY PRACTICE in MA

Provider Addresses for JAMIE CHAN

  • 3 EDGEWATER DR STE 102

    NORWOOD, MA 020624644

    Phone: (508) 928-7668

    Fax: (781) 352-2274

    Type: Mailing

  • 279 LINCOLN ST

    WORCESTER, MA 016052120

    Phone: (508) 334-1000

    Type: Mailing

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: 2024-08-19

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
I20240819002911IFamily PracticeMATBD

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 02062)

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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: 2668782137View full group profile
NameSpecialtyState
Family Practice, Osteopathic Manipulative MedicineMA
Family PracticeMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Can I verify JAMIE CHAN with an NPI only?
You can start verification with NPI 1477131381 for JAMIE CHAN, then check state licensing separately.
Is JAMIE CHAN still practicing?
JAMIE CHAN is currently listed as active in the public NPI registry.
What healthcare role does JAMIE CHAN hold?
Scheduling teams often label JAMIE CHAN under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JAMIE CHAN based?
JAMIE CHAN is tied to Norwood, Massachusetts in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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