JAILENE ANGELICA ROMAN FNP
NPI 1174274385
Nurse Practitioner - Family in Salem, MA
About Jailene Angelica Roman Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAILENE ANGELICA ROMAN FNP (NPI 1174274385) is an individual family provider in Salem, Massachusetts, licensed in Massachusetts (RN2351266) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jailene Angelica Roman Fnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jailene Roman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salem, MA 01970
- Reassigned Medicare billing, Massachusetts enrollment
- 43 clinicians in this Medicare group
Swampscott, MA 01907
- Reassigned Medicare billing, Massachusetts enrollment
- 33 clinicians in this Medicare group
Medway, MA 02053
- Reassigned Medicare billing, Massachusetts enrollment
- 186 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Shore Medical Center -
Acute Care Hospitals · Salem, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01970 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jailene Roman's NPI number?
The NPI number for Jailene Roman is 1174274385. It was assigned to this individual provider in the NPPES registry on January 10, 2022.
Where is Jailene Roman located?
Jailene Roman practices at 300 Canal St, Salem, MA 01970. The listed phone number is (978) 740-2912.
What is Jailene Roman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jailene Roman enrolled in Medicare?
Yes. Jailene Roman 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.
Which organizations bill Medicare for Jailene Roman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jailene Roman reassigns Medicare benefits to 3 organizations: North Shore Community Health, Inc (Salem, MA), CVS Clinic PLLC (Swampscott, MA) and Minuteclinic Diagnostic Of Massachusetts LLC (Medway, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jailene Roman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jailene Roman accept?
Health plans from CareSource (Common Ground Healthcare) list Jailene Roman 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 Jailene Roman affiliated with any hospitals?
According to CMS data, Jailene Roman is affiliated with North Shore Medical Center -.
When was this NPI record last updated?
The NPPES record for Jailene Roman was last updated on May 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jailene Angelica Roman, FNP · NPI 1174274385
Family physician in Salem, Massachusetts. Individual provider, active in the CMS NPPES registry since January 10, 2022.
## Identity
- **NPI:** 1174274385 (Entity type: Individual)
- **Enumerated:** January 10, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN2351266 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 CANAL ST, Salem, MA 01970-4558
- **Phone:** (978) 740-2912
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): North Shore Community Health, Inc (NPI 1588910384, Salem, MA); CVS Clinic PLLC (NPI 1306623426, Swampscott, MA); Minuteclinic Diagnostic Of Massachusetts LLC (NPI 1457470858, Medway, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174274385) · Data from the CMS NPPES public registry.