JESSICA BANNON
NPI 1457185357
Nurse Practitioner in Burlington, MA

Q: What is Jessica Bannon's NPI number?

The NPI number for Jessica Bannon is 1457185357. It was assigned to this individual provider in the NPPES registry on September 2, 2024.

Q: What is Jessica Bannon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Bannon was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 September 02, 2024PECOS EnrolledAccepts Medicare Assignment

41 BURLINGTON MALL ROAD, BURLINGTON, MA 01805(781) 744-5100 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jessica Bannon NPPES

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

JESSICA BANNON (NPI 1457185357) is an individual nurse practitioner in Burlington, Massachusetts, licensed in New Hampshire (076389-23) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and maintains a secondary practice location in Manchester.

NPPES Registry Identity

NPI1457185357

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJESSICA BANNON

Location Address41 BURLINGTON MALL ROADBurlington, MA 01805-0001

Mailing Address159 Peppermint StGoffstown, NH 03045-2945

Phone(781) 744-5100

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 2, 2024

Last NPPES UpdateSeptember 26, 2025

NPPES CertifiedSeptember 26, 2025

✔ NPI 1457185357 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 NH · 076389-23

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 · Acute CareTaxonomy 363LA2100X · License RN2315720 (MA)

41 BURLINGTON MALL ROAD, Burlington, MA 01805

Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 McGregor StManchester, NH 03102-3730 · Phone (603) 668-3545

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

Jessica Bannon 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 ID2365977816

PECOS Enrollment IDI20241121001368, I20251103000928

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 3

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

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220033

Location85 Herrick StreetBeverly, MA 01915 · Essex County

Emergency services Birthing friendly

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

Catholic Medical Center

Acute Care Hospitals · Manchester, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300034

Location100 Mcgregor StreetManchester, NH 03102 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 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.

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.

ARIEL THETYS WAMPLER MD

Student in an Organized Health Care Education/Training Program