Individual provider Active NPI

Nimish M Shah, DNP, CNS-BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Framingham, MA
National Provider Identifier
1023058328
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
230874 Issued in MA
Practice address
1881 Worcester Rd Ste 203
Framingham, MA 01701-5410
Phone
(508) 834-3183
Fax
(508) 834-3183
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 230874 MA
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 230874 MA Primary

Addresses

Primary practice location

1881 Worcester Rd Ste 203
Framingham, MA 01701-5410

Mailing address

1881 Worcester Rd Ste 203
Framingham, MA 01701-5410
Phone (508) 834-3183

Other practice location 1

201 Great Rd Ste 202
Acton, MA 01720-5700
Phone (508) 834-3183

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
I20060208000321 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 6103831441 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
230874MAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Therapeutics LLC CurrentSince Nov 1, 2013 Accepting new patients

Locations

201 Great Rd
Ste 202
Acton, MA 01720
Phone (508) 834-3181

1881 Worcester Rd
Ste 203
Framingham, MA 01701
Phone (508) 834-3183

463 Worcester Rd
Ste 401
Framingham, MA 01701
Phone (508) 834-3183

600 Worcester Rd
Ste 203
Framingham, MA 01702
Phone (508) 834-3183

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1023058328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 WORCESTER RD STE 203",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015410",
            "telephone_number": "508-834-3183",
            "fax_number": "508-834-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 WORCESTER RD STE 203",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015410",
            "telephone_number": "508-834-3183",
            "fax_number": "508-834-3183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Great Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Acton",
            "state": "MA",
            "postal_code": "017205700",
            "country_code": "US",
            "telephone_number": "508-834-3183",
            "fax_number": "508-532-1168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIMISH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DNP, CNS-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "230874",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "230874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.