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JESSICA ANDERSON
NPI 1104220805
Nurse Practitioner - Family in Plymouth, MA

Active since October 09, 2014PECOS EnrolledAccepts Medicare Assignment
45 HOME DEPOT DR STE 100, PLYMOUTH, MA 02360(508) 732-6770 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA ANDERSON (NPI 1104220805) is an individual family provider in Plymouth, Massachusetts, licensed in Massachusetts (RN2308623) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital Plymouth, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104220805
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA ANDERSON
Location Address45 HOME DEPOT DR STE 100Plymouth, MA 02360-2669
Mailing Address51 Mill St., Bldg F, Suite AHanover, MA 02339 · (781) 337-0201
Phone(508) 732-6770
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 9, 2014
Last NPPES UpdateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1104220805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MA · RN2308623✔ Licensed in CA · 95026608
Also ListedRegistered Nurse · Maternal NewbornTaxonomy 163WM0102X · License 95031319 (CA)
45 HOME DEPOT DR STE 100, Plymouth, MA 02360
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Anderson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628415189
PECOS Enrollment IDI20240320002658
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beth Israel Deaconess Hospital Plymouth

Acute Care Hospitals · Plymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220060
Location275 Sandwich StreetPlymouth, MA 02360 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN CRAIG GILLARD MD
Urology
45 HOME DEPOT DR STE 100
PLYMOUTH, MA 02360
Plymouth County (508) 732-6770
MR. MARK VICENTE SILVA M.D.
Urology
45 HOME DEPOT DR STE 100
PLYMOUTH, MA 02360
Plymouth County (508) 732-6770
DR. DIMA EZZEDINE M.D.
Obstetrics & Gynecology
45 HOME DEPOT DR STE 100
PLYMOUTH, MA 02360
Plymouth County (781) 762-0471

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Anderson's NPI number?

The NPI number for Jessica Anderson is 1104220805. It was assigned to this individual provider in the NPPES registry on October 9, 2014.

Where is Jessica Anderson located?

Jessica Anderson practices at 45 Home Depot Dr Ste 100, Plymouth, MA 02360. The listed phone number is (508) 732-6770.

What is Jessica Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Anderson enrolled in Medicare?

Yes. Jessica Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jessica Anderson accept?

Health plans from Anthem Blue Cross and Blue Shield list Jessica Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jessica Anderson affiliated with any hospitals?

According to CMS data, Jessica Anderson is affiliated with Beth Israel Deaconess Hospital Plymouth.

When was this NPI record last updated?

The NPPES record for Jessica Anderson was last updated on February 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.