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

Tina Jacques, RN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1548821234

Tina Jacques, RN is a Nurse Practitioner in Montgomery, Massachusetts. Qualified in 2011, 15 years ago. Practices with Mercy Inpatient Medical Associates Inc, a 59-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
15
Licensed in
MA
In the registry since
2019
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

132 Carrington Rd
Montgomery, MA 01050-9789
Phone: (413) 374-2592
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN200077 (MA)

Record details

NPI number1548821234
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJune 24, 2019
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020
Mailing address132 Carrington Rd, Montgomery, MA 01050-9789

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Mercy Inpatient Medical Associates Inc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount