Individual provider Active NPI

Patricia M. Wilson, ARNP

  • Family Nurse Practitioner
  • Leeds, MA
National Provider Identifier
1033326988
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2260309 Issued in MA
Practice address
38 Mulberry St Ste 204
Leeds, MA 01053-5339
Phone
(413) 727-3901
Fax
(413) 727-3902
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2260309 MA Primary

Addresses

Primary practice location

38 Mulberry St Ste 204
Leeds, MA 01053-5339

Mailing address

PO Box 313
Leeds, MA 01053-0313
Phone (413) 727-3901

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
I20100316000808 MA Practitioner - Nurse Practitioner 3678587920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.46 of 100Reported as group
Quality
61.91
Promoting interoperability
81
Improvement activities
40
Cost
65.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England PC CurrentSince Aug 22, 2016 Accepting new patients
Ipc Hospitalists of New England, P.C. Family Current Accepting new patients
Paradigm Healthcare, PC CurrentSince Nov 8, 2015 Accepting new patients
Ipc Hospitalists of New England, P.C. Family CurrentSince Aug 22, 2016 Accepting new patients
Omni Medical Group Inc Past Accepting new patients

Locations

38 Mulberry St
Ste 204
Leeds, MA 01053
Phone (413) 727-3882

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

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

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

Interoperability endpoints

  • Direct secure messaging: patricia.wilson.1@11991.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11991/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1033326988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 313",
            "city": "LEEDS",
            "state": "MA",
            "postal_code": "010530313",
            "telephone_number": "413-727-3901",
            "fax_number": "413-727-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MULBERRY ST STE 204",
            "city": "LEEDS",
            "state": "MA",
            "postal_code": "010535339",
            "telephone_number": "413-727-3901",
            "fax_number": "413-727-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PATRICIA",
        "middle_name": "M.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2260309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leeds, MA

Sources for this page

Verify at the official NPI Registry.