Active NPI
Chrystina Maria Soloperto, CNP
- Nurse Practitioner
- Auburn, MA
National Provider Identifier
1043695141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2261126
- Practice address
- 105 Millbury St
Auburn, MA 01501-3204 - Phone
- (508) 832-9691
- Fax
- (508) 832-7670
- NPI assigned
- Jul 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN2261126 | MA | Primary |
Addresses
Primary practice location
105 Millbury St
Auburn, MA 01501-3204
Mailing address
105 Millbury St
Auburn, MA 01501-3205
Phone (508) 835-9692
Other practice location 1
55 Lake Ave N
Worcester, MA 01655-0002
Phone (774) 441-8081
Other names 1
- Chrystina Maria Manero
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2261126 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients |
Locations
604 Main St
Shrewsbury, MA 01545
Phone (508) 842-0057
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- chrystina.manero.1@20124.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1043695141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MILLBURY ST",
"city": "AUBURN",
"state": "MA",
"postal_code": "015013205",
"telephone_number": "508-835-9692",
"fax_number": "508-832-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MILLBURY ST",
"city": "AUBURN",
"state": "MA",
"postal_code": "015013204",
"telephone_number": "508-832-9691",
"fax_number": "508-832-7670"
}
],
"practiceLocations": [
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "774-441-8081",
"fax_number": "774-441-8055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOLOPERTO",
"first_name": "CHRYSTINA",
"middle_name": "MARIA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2261126",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "55 Lake Ave N",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016550002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHRYSTINA",
"last_name": "MANERO",
"middle_name": "MARIA",
"credential": "CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Auburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.