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Active NPI 1265269989 Individual Practitioner Male Practitioner

Antonio Marcos Jardim , MSN, AGACNP-BC

Nurse Practitioner • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Antonio Jardim, MSN, AGACNP-BC is a certified Nurse Practitioner practicing in Worcester, MA. With approximately 2 years of clinical experience since completing medical education in 2024, Antonio Jardim delivers high-quality medical care to the local community at 55 LAKE AVE N.

Antonio Jardim is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 5083340605
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Worcester, MA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.9 yrs vs City Avg
City Avg: 10.9 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
506 Specialists

Practicing in Worcester, MA (3545 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jardim (2 Years) 2 Yrs
Worcester Specialty Average (10.9 Years) 10.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-01-02
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN2303327

(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

NUCC Taxonomy Code: 363L00000X

State License RI APRN04207

(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.

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Practice Associates & Co-Workers

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

29 Associated Practitioners
Dana Walker

Physician Assistant

NPI 1053955021
Corey Caracciolo

Physician Assistant

NPI 1063059566
Dr. Stephen Gutting , MD

Neurological Surgery

NPI 1063465615

Doctor of Medicine (M.D.)

Kristen Kotsopoulos , PA-C

Physician Assistant

NPI 1124634720

Physician Assistant (Certified)

Dr. Oguz Cataltepe , MD

Neurological Surgery

NPI 1174505598

Doctor of Medicine (M.D.)

NPI 1174941819

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 02, 2025

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083340605)

📍
Updated Business Mailing Address January 02, 2025

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

NPI Profile Active September 17, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2024

Registered at 211 PARK ST, ATTLEBORO, MA 027033143 (Tel: 5082367450)

📍
Updated Business Mailing Address September 17, 2024

Registered at 260 JUNIPER ST, EAST PROVIDENCE, RI 029145133 (Tel: 4015232211)

👤
Provider Name / Credentials Updated September 17, 2024

Recorded as ANTONIO JARDIM, MSN, AGACNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2024

Nurse Practitioner (License #APRN04207 in RI)

🟢
Initial NPI Registration & Enumeration September 17, 2024

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: 1265269989
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2024
Last Update: January 02, 2025
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

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.