JASON LORD – Family Nurse Practitioner, NPI 1659052736

JASON LORD is a healthcare provider. based in West greenwich, Rhode Island. specializing in NURSE PRACTITIONER. They hold a License No. APRN04537 (RI). The NPI Number for JASON LORD is 1659052736

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
JASON LORD
NPI
1659052736
Phone
Not provided
Address
20335 PATRIOT WAY
Enumeration Date
31 July 2023
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4013967649
Graduation Year
2025 (1 year ago)
PAC ID
9133612468
Group Practice PAC ID
7719330034
Professional Enrollment ID
I20251204001180
Address ID
RI029103227CR1020XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:2State licenses:2Digital endpointsOther names

1,476 NURSE PRACTITIONER in RI

Provider Addresses for JASON LORD

  • 20335 PATRIOT WAY

    WEST GREENWICH, RI 028176027

    Phone:

    Type: Mailing

  • 20335 Patriot Way

    West Greenwich, RI 028176027

    Phone: (646) 270-3548

    Type: Location

  • 1020 PARK AVE

    CRANSTON, RI 029103227

    Phone: (401) 396-7649

    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: 2025-12-04

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
I20251204001180INurse PractitionerRITBD

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 02817)

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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: 7719330034View full group profile
NameSpecialtyState
Mental Health CounselorRI
Mental Health CounselorRI

Reviews

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Frequently asked questions

Does JASON LORD share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JASON LORD uses 1659052736.
Can I rely on JASON LORD being an active provider?
As of the registry snapshot, JASON LORD is marked active.
What is JASON LORD's primary classification?
Family Nurse Practitioner is the headline specialty for JASON LORD here. Clinical services aligned with this taxonomy classification.
What address line appears for JASON LORD?
JASON LORD's geographic hint is West Greenwich, Rhode Island in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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