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

Jessica Anderson

Individual provider Maternal Newborn Registered Nurse · NPI 1104220805

Jessica Anderson is a Nurse Practitioner in Plymouth, Massachusetts. Qualified in 2023, 3 years ago. Practices with Greater Boston Urology LLC, a 45-clinician group and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
3
Licensed in
CA, MA
In the registry since
2014
Specialties on file
3

Practice location Address checks out

45 Home Depot Dr Ste 100
Plymouth, MA 02360-2669
Phone: (508) 732-6770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2308623 (MA)
Maternal Newborn Registered Nurse Taxonomy 163WM0102X · Licence 95031319 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95026608 (CA)

Record details

NPI number1104220805
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2014
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Greater Boston Urology Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount