Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antonio Marcos Jardim, MSN, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1265269989

Antonio Marcos Jardim, MSN, AGACNP-BC is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2024, 2 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
2
Licensed in
MA, RI
In the registry since
2024
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-0605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2303327 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN04207 (RI)

Record details

NPI number1265269989
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , AGACNP-BC
Sole proprietorNo
NPI enumeratedSeptember 17, 2024
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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