1. Home
  2. Directory
  3. Massachusetts
  4. Brockton
  5. Nurse Practitioner
  6. NPI Profile

JOANNA REGIS
NPI 1720795495
Nurse Practitioner - Family in Brockton, MA

Active since November 02, 2022PECOS Enrolled
107 HIGHLAND ST, BROCKTON, MA 02301(774) 386-6700 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2026, Nov 2, 2022 (2 updates tracked since 2022).

About Joanna Regis NPPES

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

JOANNA REGIS (NPI 1720795495) is an individual family provider in Brockton, Massachusetts, licensed in Massachusetts (2318791) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720795495
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOANNA REGIS
Location Address107 HIGHLAND STBrockton, MA 02301-3721
Mailing Address107 Highland StBrockton, MA 02301-3721 · (774) 386-6700
Phone(774) 386-6700
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 2, 2022
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1720795495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MA · 2318791✔ Licensed in KY · 4054891
107 HIGHLAND ST, Brockton, MA 02301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joanna Regis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113398868
PECOS Enrollment IDI20260504005689
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.

Medicare Billing Reassignment

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

Molina Care Connections, LLC.
2,606 mi
Nurse Practitioner
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, Connecticut, Kentucky, Massachusetts and South Carolina enrollments
  • 86 clinicians in this Medicare group
NPI 1407243223 (888) 562-5442

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 02301 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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 Joanna Regis's NPI number?

The NPI number for Joanna Regis is 1720795495. It was assigned to this individual provider in the NPPES registry on November 2, 2022.

Where is Joanna Regis located?

Joanna Regis practices at 107 Highland St, Brockton, MA 02301. The listed phone number is (774) 386-6700.

What is Joanna Regis's specialty?

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

Is Joanna Regis enrolled in Medicare?

Yes. Joanna Regis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joanna Regis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joanna Regis reassigns Medicare benefits to Molina Care Connections, LLC. (Long Beach, CA). 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 Joanna Regis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joanna Regis accept?

Health plans from CareSource (Common Ground Healthcare) list Joanna Regis 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 Joanna Regis was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.