MARY ELLEN JEPSEN (NPI# 1588686562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588686562 |
| Entity Type | Individual |
| Full Name | MARY ELLEN JEPSEN |
| Credential | NP |
| Practice Address |
380 Plainfield St Springfield MA 01107-1524 |
| Mailing Address |
280 Chestnut St 2nd Floor Springfield MA 01199-1001 |
| Practice Telephone | 4137944458 |
| Practice Fax Number | 4137945131 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
201485 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679971873 | Mary Susan Jepsen | Occupational Therapist | 1608 S 24th Ave, Yakima, WA 98902-5719 | 2014-12-21 |
| 1720337876 | Mary Jepsen | Registered Nurse | 2301 N 29th St Ste 500, Philadelphia, PA 19132-3454 | 2012-09-05 |
| Street Address |
380 PLAINFIELD ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922089846 | Sarah L Goff | Internal Medicine | 380 Plainfield St, Springfield, MA 01107-1524 | 2005-11-08 |
| 1053932392 | Ryann Nichole Mcchesney | Registered Nurse | 380 Plainfield St, Springfield, MA 01107-1524 | 2020-04-28 |
| 1215455175 | Anne Bayerle | Nurse Practitioner | 380 Plainfield St, Springfield, MA 01107-1524 | 2017-08-31 |
| 1730505868 | Amelia Agnes Stiles | Nurse Practitioner | 380 Plainfield St, Springfield, MA 01107-1524 | 2014-03-13 |
| 1487925376 | Christina Ann Lima | Nurse Practitioner | 380 Plainfield St, Springfield, MA 01107-1524 | 2012-01-24 |
| 1699061853 | Somaira Rafiq-yasin | Family Medicine | 380 Plainfield St, Springfield, MA 01107-1524 | 2011-06-24 |
| 1053601096 | Matthew R Chabot | Internal Medicine | 380 Plainfield St, Springfield, MA 01107-1524 | 2011-04-11 |
| 1285955476 | Maria Jose Ferrera | Internal Medicine | 380 Plainfield St, Springfield, MA 01199-1619 | 2010-06-22 |
| 1679605091 | Commonwealth Clinical Alliance, Inc | Case Manager/Care Coordinator | 380 Plainfield St, Springfield, MA 01107-1524 | 2007-03-12 |
| 1902938103 | Lynn A Minnick | Nurse Practitioner | 380 Plainfield St, Springfield, MA 01107-1524 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306902 | Ife Muyiwa-ojo | Nurse Practitioner | 729 E Carpenter St, Springfield, IL 62702-5321 | 2020-01-27 |
| 1194100420 | Amanda Louise Jones | Nurse Practitioner | 1526 Uplands Dr, Springfield, OH 45506-4025 | 2015-07-28 |
| 1386950764 | Springfield Elder Care, LLC | Nurse Practitioner | 1808 S Bates Ave, Springfield, IL 62704-3354 | 2010-08-24 |
| 1235290743 | Debbora Sutherland | Nurse Practitioner | 25 Bond St., Spopc, Springfield, MA 01104 | 2006-12-12 |
| 1124058789 | Elizabeth Vonwellsheim | Nurse Practitioner | 382b South 58th Street, Springfield, OR 97478 | 2006-07-03 |
| 1235781766 | Kelli Stewart | Nurse Practitioner | 1571 Highway 21 S, Springfield, GA 31329-5214 | 2019-07-15 |
| 1154894475 | Stephanie Marie Rapp | Nurse Practitioner | 1229 E Seminole St Ste 320, Springfield, MO 65804-2227 | 2019-01-09 |
| 1356829121 | Sara Pakyari Friedman | Nurse Practitioner | 604 Cottage St, Springfield, MA 01104-4200 | 2018-08-02 |
| 1376029918 | Samantha Frances Duffy | Nurse Practitioner | 3300 Main Street, 3rd Fl, Suite A, Springfield, MA 01107-1112 | 2018-07-17 |
| 1922596568 | Hannah J. Bettis | Nurse Practitioner | 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 | 2018-04-30 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.