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JANELLE SHERRY ROMAIN A-GNP-C
NPI 1295344547
Nurse Practitioner in Dorchester, MA

Active since July 23, 2020PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
91 CODMAN HILL AVE, DORCHESTER, MA 02124(617) 763-7476 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2022, Jul 23, 2020 (2 updates tracked since 2020).

About Janelle Sherry Romain A-gnp-c NPPES

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

JANELLE SHERRY ROMAIN A-GNP-C (NPI 1295344547) is an individual nurse practitioner in Dorchester, Massachusetts, licensed in Massachusetts (RN273382) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Lahey Hospital & Medical Center, Burlington, and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1295344547
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJANELLE SHERRY ROMAINCredential: A-GNP-C
Location Address91 CODMAN HILL AVEDorchester, MA 02124-4636
Mailing Address91 Codman Hill AveDorchester, MA 02124-4636
Phone(617) 763-7476
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 23, 2020
Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
✔ NPI 1295344547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN273382
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN273382 (MA)
91 CODMAN HILL AVE, Dorchester, MA 02124
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Secondary Practice Location 1

Location 141 Mall RdBurlington, MA 01805-4636 · Phone (781) 744-8000

Accepted Insurance

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

Janelle Sherry Romain A-gnp-c 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 ID1658764931
PECOS Enrollment IDI20220209000953
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
76 services75 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services35 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
19 services14 patients

Hospital Affiliations CMS Care Compare

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

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02124 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

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 Janelle Romain's NPI number?

The NPI number for Janelle Romain is 1295344547. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Janelle Romain located?

Janelle Romain practices at 91 Codman Hill Ave, Dorchester, MA 02124. The listed phone number is (617) 763-7476.

What is Janelle Romain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Janelle Romain enrolled in Medicare?

Yes. Janelle Romain 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 Janelle Romain accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Janelle Romain 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 Janelle Romain affiliated with any hospitals?

According to CMS data, Janelle Romain is affiliated with Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Janelle Romain was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.