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

Mrs. Jessica Derosa, AGNP-BC

Individual provider Nurse Practitioner · NPI 1497309447

Mrs. Jessica Derosa, AGNP-BC is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2019, 7 years ago. Practices with Cardiovascular Center at Tufts Medical Center Inc, a 98-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2019

Practice location Address checks out

800 Washington St
Boston, MA 02111-1552
Phone: (617) 636-2642
Fax: (617) 636-4599
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2261788 (MA)

Record details

NPI number1497309447
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-BC
Sole proprietorYes
NPI enumeratedJuly 29, 2019
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cardiovascular Center At Tufts Medical Center Inc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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