JILLIAN BLANCHE POOMCHAROEN NP
NPI 1669074308
Nurse Practitioner - Family in Plainville, MA

Q: What is Jillian Poomcharoen's NPI number?

The NPI number for Jillian Poomcharoen is 1669074308. It was assigned to this individual provider in the NPPES registry on November 9, 2020.

Q: What is Jillian Poomcharoen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 09, 2020PECOS EnrolledAccepts Medicare Assignment

60 MESSENGER ST, PLAINVILLE, MA 02762(508) 809-6378(508) 342-1912 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2024, Aug 11, 2023, Nov 9, 2020 (3 updates tracked since 2020).

On this page

About Jillian Blanche Poomcharoen Np NPPES

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

JILLIAN BLANCHE POOMCHAROEN NP (NPI 1669074308) is an individual family provider in Plainville, Massachusetts, licensed in Massachusetts (RN2305937) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669074308

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJILLIAN BLANCHE POOMCHAROENCredential: NP

Location Address60 MESSENGER STPlainville, MA 02762-2258

Mailing Address287 Chauncy St Unit C302Mansfield, MA 02048-1182 · (401) 309-1541

Phone(508) 809-6378

Fax(508) 342-1912

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 9, 2020

Last NPPES UpdateMay 9, 20243 updates tracked since enumeration

NPPES CertifiedMay 9, 2024

✔ NPI 1669074308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MA · RN2305937

Also ListedRegistered NurseTaxonomy 163W00000X · License RN2305937 (MA)

60 MESSENGER ST, Plainville, MA 02762

Open in Google Maps ↗

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

Jillian Blanche Poomcharoen Np 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 ID2668813387

PECOS Enrollment IDI20240513002649

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 7

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.

173 services108 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.

74 services57 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

50 services50 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

24 services24 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

18 services18 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220008

Location211 Park StreetAttleboro, MA 02703 · Bristol County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02762 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.

JENNIFER B LACOURSE NP

Nurse Practitioner (Family)