JESSICA FERNANDES CANUTO AGNP-C
NPI 1154134393
Family Medicine - Geriatric Medicine in Brockton, MA

Q: What is Jessica Canuto's NPI number?

The NPI number for Jessica Canuto is 1154134393. It was assigned to this individual provider in the NPPES registry on January 30, 2025.

Q: What is Jessica Canuto's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Canuto was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 30, 2025PECOS Enrolled

45 EDSON ST, BROCKTON, MA 02302(774) 274-1882 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jessica Fernandes Canuto Agnp-c NPPES

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

JESSICA FERNANDES CANUTO AGNP-C (NPI 1154134393) is an individual geriatric medicine provider in Brockton, Massachusetts, licensed in Massachusetts (RN2361476) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1154134393

Entity TypeIndividualFemale

Primary Taxonomy207QG0300X

Provider Legal NameJESSICA FERNANDES CANUTOCredential: AGNP-C

Location Address45 EDSON STBrockton, MA 02302-4109

Mailing Address45 Edson StBrockton, MA 02302-4109

Phone(774) 274-1882

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 30, 2025

NPPES CertifiedJanuary 30, 2025

✔ NPI 1154134393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in MA · RN2361476

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

45 EDSON ST, Brockton, MA 02302

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Fernandes Canuto Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012433691

PECOS Enrollment IDI20250428000612

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.

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220100

Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02302 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.

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 Canuto's NPI number?

The NPI number for Jessica Canuto is 1154134393. It was assigned to this individual provider in the NPPES registry on January 30, 2025.

Where is Jessica Canuto located?

Jessica Canuto practices at 45 Edson St, Brockton, MA 02302. The listed phone number is (774) 274-1882.

What is Jessica Canuto's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Jessica Canuto enrolled in Medicare?

Yes. Jessica Canuto is registered in the Medicare PECOS enrollment system.

Is Jessica Canuto affiliated with any hospitals?

According to CMS data, Jessica Canuto is affiliated with South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Canuto was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.