MS. JAMIE C. MORTELLITE NURSE PRACTITIONER NPI 1295855450

NPI Information

NPI: 1295855450
Provider Name: MS. JAMIE C. MORTELLITE, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
330 BROOKLINE AVE
BOSTON, MA
ZIP 02215
Phone: (617) 667-1949
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MS. Jamie C. Mortellite, NURSE PRACTITIONER is an acute care nurse practitioner in Boston, MA. MS. Jamie C. Mortellite, NURSE PRACTITIONER NPI is 1295855450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

330 BROOKLINE AVE
BOSTON, MA
ZIP 02215-400
Phone: (617) 667-1949
Fax: (617) 667-9922

The NPI 1295855450 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	254663	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP4995	OTHER	MASSACHUSETTS	BLUE CARE ELECT
2	94036	OTHER	MASSACHUSETTS	FALLON
3	21258700817	OTHER	MASSACHUSETTS	BEECH STREET
4	NP4995	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
5	NP4995	OTHER	MASSACHUSETTS	BLUE CARE 65
6	Q41819	MEDICARE UPIN	MASSACHUSETTS
7	0703095	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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