MRS. JESSICA DEROSA AGNP-BC
NPI 1497309447
Nurse Practitioner in Boston, MA

Q: What is Jessica Derosa's NPI number?

The NPI number for Jessica Derosa is 1497309447. It was assigned to this individual provider in the NPPES registry on July 29, 2019.

Q: What is Jessica Derosa'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 Derosa was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 29, 2019PECOS EnrolledAccepts Medicare Assignment

800 WASHINGTON ST, BOSTON, MA 02111(617) 636-2642(617) 636-4599 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 13, 2020, Feb 7, 2020, Jul 29, 2019 (3 updates tracked since 2019).

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About Mrs. Jessica Derosa Agnp-bc NPPES

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

MRS. JESSICA DEROSA AGNP-BC (NPI 1497309447) is an individual nurse practitioner in Boston, Massachusetts, licensed in Massachusetts (RN2261788) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Tufts Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497309447

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. JESSICA DEROSACredential: AGNP-BC

Location Address800 WASHINGTON STBoston, MA 02111-1552

Mailing Address800 Washington StBoston, MA 02111-1552 · (617) 636-2642

Phone(617) 636-2642

Fax(617) 636-4599

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 29, 2019

Last NPPES UpdateOctober 13, 20203 updates tracked since enumeration

NPPES CertifiedOctober 13, 2020

✔ NPI 1497309447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MA · RN2261788

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.

800 WASHINGTON ST, Boston, MA 02111

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Mrs. Jessica Derosa Agnp-bc 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 ID3476989120

PECOS Enrollment IDI20200129000445

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 2

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.

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.

77 services77 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

43 services41 patients

Hospital Affiliations CMS Care Compare

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

Tufts Medical Center

Acute Care Hospitals · Boston, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220116

Location800 Washington StreetBoston, MA 02111 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 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.

AARON DICKSTEIN M.D.

Internal Medicine (Gastroenterology)

800 WASHINGTON ST, BOX 233
BOSTON, MA 02111

Suffolk County (617) 636-5883

THOMAS E BIGELOW

Technician/Technologist (Optician)

800 WASHINGTON ST, BOX 450
BOSTON, MA 02111

Suffolk County (617) 636-5857

SARAH MERRIMAN PERSING M.D.

Plastic Surgery