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

Jessica Bannon

Individual provider Nurse Practitioner · NPI 1457185357

Jessica Bannon is a Nurse Practitioner in Burlington, Massachusetts. Qualified in 2024, 2 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and New Hampshire.

Years since qualifying
2
Licensed in
MA, NH
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

41 Burlington Mall Rd
Burlington, MA 01805-0001
Phone: (781) 744-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 McGregor St, Manchester, NH 03102-3730 — (603) 668-3545

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 076389-23 (NH)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence RN2315720 (MA)

Record details

NPI number1457185357
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 2, 2024
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025
Mailing address159 Peppermint St, Goffstown, NH 03045-2945

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 Intensive Care Consortium Inc — 483 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Burlington