MRS. JESSICA LEE MOUSSEAU MS, RDN
NPI 1467083089
Dietitian, Registered in Worcester, MA

Q: What is Jessica Mousseau's NPI number?

The NPI number for Jessica Mousseau is 1467083089. It was assigned to this individual provider in the NPPES registry on February 2, 2020. The provider is also known as Miss Jessica Lee Pelletier Rd.

Q: What is Jessica Mousseau's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Mousseau was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 February 02, 2020

55 LAKE AVE N, WORCESTER, MA 01655(774) 442-3230(774) 443-3983 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2026, Feb 2, 2020 (2 updates tracked since 2020).

On this page

About Mrs. Jessica Lee Mousseau Ms, Rdn NPPES

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

MRS. JESSICA LEE MOUSSEAU MS, RDN (NPI 1467083089) is an individual dietitian, registered in Worcester, Massachusetts, licensed in Massachusetts (86109504) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1467083089

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. JESSICA LEE MOUSSEAUCredential: MS, RDN

Location Address55 LAKE AVE NWorcester, MA 01655-0002

Mailing Address11 Brookfield RdMilford, MA 01757-1302 · (774) 573-9835

Phone(774) 442-3230

Fax(774) 443-3983

Sole ProprietorNo

Enumeration DateFebruary 2, 2020

Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1467083089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in MA · 86109504

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

55 LAKE AVE N, Worcester, MA 01655

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Other Names 1

Former Name (1)Miss Jessica Lee Pelletier Rd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessica Lee Mousseau Ms, Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jessica Mousseau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Umass Memorial Medical Center, Inc.

Same address

Psychiatric Unit

55 LAKE AVE N
Worcester, MA 01655

Reassigned Medicare billing, Massachusetts enrollment
63 clinicians in this Medicare group

NPI 1689760092 (508) 334-0254

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HILLARY R. IRONS MD

Emergency Medicine

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 421-1400

MS. EILEEN A. DUHAMEL NP

Nurse Practitioner

55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-2710

EWA HRYNISZYN CRNA

Nurse Anesthetist, Certified Registered

55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

HELEN COPSEY PA-C

Physician Assistant

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-8585

DR. ADEPEJU GBADEBO CHAMPION M.D.

Internal Medicine

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-2731

SOWMYA KORAPATI

Internal Medicine (Hematology & Oncology)

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-3550

LAYLA FAKHRZADEH M.D.

Anesthesiology

55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

YOONYIE CHO M.D.

Anesthesiology

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-1000

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 Mousseau's NPI number?

The NPI number for Jessica Mousseau is 1467083089. It was assigned to this individual provider in the NPPES registry on February 2, 2020. The provider is also known as Miss Jessica Lee Pelletier Rd.

Where is Jessica Mousseau located?

Jessica Mousseau practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 442-3230.

What is Jessica Mousseau's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jessica Mousseau enrolled in Medicare?

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

Which organization bills Medicare for Jessica Mousseau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Mousseau reassigns Medicare benefits to Umass Memorial Medical Center, Inc. (Worcester, 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 Jessica Mousseau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Mousseau was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.