Individual provider Active NPI

Teresa Ann Gore, ANP-BC

  • Adult Health Nurse Practitioner
  • Brighton, MA
National Provider Identifier
1013243138
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN280238 Issued in MA
Practice address
11 Nevins St
Suite 401
Brighton, MA 02135
Phone
(617) 782-7788
Fax
(617) 783-5657
NPI assigned
Oct 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN280238 MA Primary

Addresses

Primary practice location

11 Nevins St
Suite 401
Brighton, MA 02135

Mailing address

11 Nevins St
4Rd Floor
Brighton, MA 02135
Phone (617) 999-2965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100113000502 MA Practitioner - Nurse Practitioner 7618018607 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LGH Professional Services LLCGroup PAC ID 8921364159, 10 clinicians

Practice addresses (Care Compare)

20 Research PL
Suite 310
North Chelmsford, MA 01863-2455
Phone (978) 459-2152

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
Ipc Hospitalists of New England PC CurrentSince Mar 11, 2015 Accepting new patients
LGH Professional Services LLC CurrentSince Apr 23, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Ipc Hospitalists of New England, P.C. Adult Health CurrentSince Mar 11, 2015 Accepting new patients
Merrimack Valley Internal Medicine LTC CurrentSince Jul 1, 2026 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Merrimack Valley Internal Medicine PastSince Jul 1, 2026 Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients
LGH Medical Group, Inc. Past Accepting new patients

Locations

89 Morton St
Andover, MA 01810
Phone (978) 475-0944

400 Groton Rd
Ayer, MA 01432
Phone (508) 772-1704

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

11 Nevins St
#4
Brighton, MA 02135

11 Nevins St
Ste 401
Brighton, MA 02135
Phone (617) 682-7788

640 Concord Ave
Cambridge, MA 02138
Phone (617) 497-0600

321 Centre St
Dorchester, MA 02122
Phone (617) 825-6320

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

67 Union St
Natick, MA 01760
Phone (508) 383-1104

20 Research Pl
North Chelmsford, MA 01863
Phone (978) 788-7200

20 Research Pl
Ste 310
North Chelmsford, MA 01863
Phone (978) 459-2152

96 Forest St
Peabody, MA 01960
Phone (978) 532-0303

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

37 State Highway 6A
Sandwich, MA 02563
Phone (508) 888-8222

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

40 Spring St
Watertown, MA 02472
Phone (617) 923-8433

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1013243138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NEVINS ST",
            "address_2": "4RD FLOOR",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-999-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NEVINS ST",
            "address_2": "SUITE 401",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-782-7788",
            "fax_number": "617-783-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN280238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.