JOLENE O'BRIEN (MS RD LDN) – Registered Dietitian, NPI 1790547461

JOLENE O'BRIEN (MS RD LDN) is a healthcare provider. based in Newburyport, Massachusetts. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials MS RD LDN. They hold a License No. LDN5439 (MA). The NPI Number for JOLENE O'BRIEN (MS RD LDN) is 1790547461

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JOLENE O'BRIEN (MS RD LDN)
NPI
1790547461
Phone
(508) 335-9386
Address
41 OLIVE ST
Enumeration Date
29 January 2024
Last Update Date
10 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089231103
Graduation Year
2020 (6 years ago)
PAC ID
8921529603
Group Practice PAC ID
2668533282
Professional Enrollment ID
I20250311000921
Address ID
MA023471674LA10XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

247 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in MA

Provider Addresses for JOLENE O'BRIEN (MS RD LDN)

  • 41 OLIVE ST

    NEWBURYPORT, MA 019502313

    Phone: (508) 335-9386

    Type: Mailing

  • 10 MAIN ST

    LAKEVILLE, MA 023471674

    Phone: (508) 923-1103

    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: 2025-03-11

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
I20250311000921IRegistered Dietitian Or Nutrition ProfessionalMATBD

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 01950)

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Reviews

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Frequently asked questions

What is the standard ID for JOLENE O'BRIEN (MS RD LDN) in the U.S.?
In the U.S., JOLENE O'BRIEN (MS RD LDN) is identified by NPI 1790547461.
Should I treat JOLENE O'BRIEN (MS RD LDN) as an active provider?
Patients and plans typically see JOLENE O'BRIEN (MS RD LDN) as active in the national extract.
What services align with JOLENE O'BRIEN (MS RD LDN)'s listing?
JOLENE O'BRIEN (MS RD LDN)'s public classification highlights Registered Dietitian. Clinical services aligned with this taxonomy classification.
What city is tied to JOLENE O'BRIEN (MS RD LDN)?
The directory associates JOLENE O'BRIEN (MS RD LDN) with Newburyport, Massachusetts. Check all listed addresses for suites or satellite offices.
Why is information missing for JOLENE O'BRIEN (MS RD LDN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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