MS. THATIANA JEUNE CNP
NPI 1417520636
Nurse Practitioner - Pediatrics in Dorchester, MA
About Ms. Thatiana Jeune Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. THATIANA JEUNE CNP (NPI 1417520636) is an individual pediatrics provider in Dorchester, Massachusetts, licensed in Massachusetts (RN2319961) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Thatiana Jeune Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Thatiana Jeune reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dorchester Center, MA 02124
- Reassigned Medicare billing, Massachusetts enrollment
- 91 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.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DORCHESTER, MA 02124
DORCHESTER CENTER, MA 02124
DORCHESTER, MA 02124
DORCHESTER, MA 02124
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 Thatiana Jeune's NPI number?
The NPI number for Thatiana Jeune is 1417520636. It was assigned to this individual provider in the NPPES registry on July 24, 2021.
Where is Thatiana Jeune located?
Thatiana Jeune practices at 637 Washington St, Dorchester, MA 02124. The listed phone number is (617) 825-9660.
What is Thatiana Jeune's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Thatiana Jeune enrolled in Medicare?
Yes. Thatiana Jeune is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Thatiana Jeune's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thatiana Jeune reassigns Medicare benefits to Codman Square Health Center Inc (Dorchester Center, MA). The 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 Thatiana Jeune's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thatiana Jeune accept?
Health plans from Taro Health list Thatiana Jeune 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.
When was this NPI record last updated?
The NPPES record for Thatiana Jeune was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ms. Thatiana Jeune, CNP · NPI 1417520636
Pediatrics physician in Dorchester, Massachusetts. Individual provider, active in the CMS NPPES registry since July 24, 2021.
## Identity
- **NPI:** 1417520636 (Entity type: Individual)
- **Enumerated:** July 24, 2021
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** RN2319961 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 637 WASHINGTON ST, Dorchester, MA 02124-3510
- **Phone:** (617) 825-9660
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Codman Square Health Center Inc (NPI 1396808309, Dorchester Center, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417520636) · Data from the CMS NPPES public registry.