Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457342982 Individual Practitioner Female Practitioner

Jacqueline Medeiros , NP

Nurse Practitioner • Springfield, MA

Professional Overview & Biography Verified Profile Summary

Jacqueline Medeiros, NP is a registered healthcare professional specializing in Nurse Practitioner in Springfield, MA. Practice services are available at 2150 MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include transitional care management services for problem of high complexity, dialysis services, per day, less than full month service (20 years or older), transitional care management services for problem of at least moderate complexity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2150 Main St

Springfield, MA 011043566

Telephone 4137330010
Fax 4139302108
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Springfield, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
58 Specialists

Practicing in Springfield, MA (3545 Statewide)

Telehealth Adoption Rate
12.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99496 Transitional care management services for problem of high complexity
34 20 $596.90 $219.16
90970 Dialysis services, per day, less than full month service (20 years or older)
19 12 $24.45 $7.27
99495 Transitional care management services for problem of at least moderate complexity
14 13 $423.38 $165.55

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 119372

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License MA 119372

Definition to come...

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License CT 002624

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Jeffrey Mulhern , MD

Internal Medicine - Nephrology

NPI 1063402105

Doctor of Medicine (M.D.)

Jyovani Joubert , PA-C

Physician Assistant

NPI 1083062863

Physician Assistant (Certified)

Dr. Arley Diaz , MD

Internal Medicine - Nephrology

NPI 1093706525

Doctor of Medicine (M.D.)

Dr. Jiuming Ye , MD PHD

Internal Medicine - Nephrology

NPI 1184614604

MDPHD

Dr. Spencer Hodgins , MD

Internal Medicine - Nephrology

NPI 1194100792

Doctor of Medicine (M.D.)

Jennifer Mol , PA

Physician Assistant

NPI 1255629101

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2019

Nurse Practitioner (License #119372 in MA)

NPI Profile Active July 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2017

Registered at 2150 MAIN ST, SPRINGFIELD, MA 011043566 (Tel: 4137330010)

📍
Updated Business Mailing Address July 26, 2017

Registered at PO BOX 366, LUDLOW, MA 010560366 (Tel: (413) 733-0010)

👤
Provider Name / Credentials Updated July 26, 2017

Recorded as JACQUELINE MEDEIROS, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2017

Nurse Practitioner (License #002624 in CT)

NPI Profile Active February 06, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2015

Registered at 100 WASON AVE, SUITE 200, SPRINGFIELD, MA 011071119 (Tel: 4137339666)

📍
Updated Business Mailing Address February 06, 2015

Registered at PO BOX 70266, SPRINGFIELD, MA 011071577 (Tel: 4137339666)

👤
Provider Name / Credentials Updated February 06, 2015

Recorded as JACQUELINE MEDEIROS, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2015

Nurse Practitioner (License #119372 in MA)

🟢
Initial NPI Registration & Enumeration November 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457342982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2005
Last Update: March 13, 2019
Sole Proprietor: No

Mailing Address

Po Box 366

Ludlow, MA 010560366

Phone: 4137330010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.