Nancy A Allen, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Springfield, MA
NPI 1063510261 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1063510261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 243740 (MA)
- Practice address
- 3300 Main St
3Rd Floor Suite a
Springfield, MA 01199-1002 - Phone
- (413) 794-7031
- Fax
- (413) 794-7133
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140620000942 | UT | Practitioner - Nurse Practitioner | 1951316728 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Baystate Medical Practices, Inc | Past | Accepting new patients |
Locations
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 243740 | MA | Yes |
Addresses
Primary practice location
3300 Main St
3Rd Floor Suite a
Springfield, MA 01199-1002
Mailing address
280 Chestnut St
2ND Floor
Springfield, MA 01199-1000
Phone (413) 794-5700
Other providers in Springfield, MA
- Holley Fales Allen
- Joy Danita Allen
- Kelsey Allen
- Lisa Allen
- Luke Allen
- Raheem Asaad Allen
- Russell Allen
- Steven Bailey Allen
- Wayne M Allen
- Susan Allender
All providers in Springfield, MA · Adult Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.