JAMIE ANDERSON (FNP) – Family Nurse Practitioner, NPI 1750160974

JAMIE ANDERSON (FNP) is a healthcare provider. based in Kingston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN2322240 (MA). The NPI Number for JAMIE ANDERSON (FNP) is 1750160974

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE ANDERSON (FNP)
NPI
1750160974
Phone
(781) 585-2172
Address
214 Main St
Enumeration Date
26 September 2023
Last Update Date
5 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7746083700
Graduation Year
2023 (3 years ago)
PAC ID
5799133385
Group Practice PAC ID
4789588641
Professional Enrollment ID
I20231120002550
Address ID
MA023602677PL36XXXWAYX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for JAMIE ANDERSON (FNP)

  • 214 Main St

    Kingston, MA 023641928

    Phone: (781) 585-2172

    Type: Location

  • 10 CORDAGE PARK CIR

    PLYMOUTH, MA 023607318

    Phone:

    Type: Mailing

  • 36 SHOPS AT 5 WAY

    PLYMOUTH, MA 023602677

    Phone: (508) 747-1443

    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: 2023-11-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231120002550INurse 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 02364)

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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: 4789588641View full group profile
NameSpecialtyState
-MA
Family PracticeMA
D E R M A T O L O G YMA
Emergency MedicineMA
Internal Medicine, Cardiovascular Disease (Cardiology)MA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Internal MedicineMA
O T O L A R Y N G O L O G YMA

Reviews

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Frequently asked questions

What unique ID ties claims to JAMIE ANDERSON (FNP)?
NPI 1750160974 is assigned to JAMIE ANDERSON (FNP) under the national enumeration system.
Is JAMIE ANDERSON (FNP) active in the national directory?
JAMIE ANDERSON (FNP)'s public NPI profile is in an active state.
Does JAMIE ANDERSON (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for JAMIE ANDERSON (FNP). Clinical services aligned with this taxonomy classification.
Where is JAMIE ANDERSON (FNP)'s primary listing?
We display Kingston, Massachusetts because that is what the record indicates for JAMIE ANDERSON (FNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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