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

Jimmy Pacombe

Individual provider Licensed Practical Nurse · NPI 1013214337

Jimmy Pacombe is a Nurse Practitioner in Norwood, Massachusetts. Qualified in 2022, 4 years ago. Offers telehealth. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

15 Beacon Ave
Norwood, MA 02062-2018
Phone: (781) 769-8674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2326403 (MA)
Licensed Practical Nurse Taxonomy 164W00000X · Licence LN85190 (MA)

Record details

NPI number1013214337
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 23, 2011
Last updated in NPPESOctober 20, 2022
Certification dateSeptember 8, 2022
Mailing address450 Washington St, Dedham, MA 02026-4455

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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