Individual provider Active NPI

Lindsay Jill Kaplan, FNP-BC

  • Internal Medicine Physician
  • Brockton, MA
National Provider Identifier
1073166393
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RN2331017 Issued in MA
Practice address
1 Pearl St Ste 2100
Brockton, MA 02301-2868
Phone
(508) 897-6040
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 344590 NY
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X RN2331017 MA Primary

Addresses

Primary practice location

1 Pearl St Ste 2100
Brockton, MA 02301-2868

Mailing address

277 Concord Rd
Sudbury, MA 01776-2342
Phone (978) 764-0105

Other practice location 1

155 Spring St Fl 4
New York, NY 10012-5208
Phone (212) 343-0080

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
I20200303000193 MA Practitioner - Nurse Practitioner 4486081585 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

75 Washington St
Norwell, MA 02061-1795
Phone (781) 878-6495

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
344590NYMDFamily Medicine Physician
RN2331017MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc Single Specialty CurrentSince Feb 15, 2020 Accepting new patients
Northeast Dermatology Associates, PC Single Specialty CurrentSince Feb 14, 2022 Accepting new patients
Neda at North Shore PC Single Specialty CurrentSince Feb 14, 2022 Accepting new patients
Steward Medical Group, Inc Single Specialty CurrentSince Feb 15, 2020 Accepting new patients
Revere Medical of Massachusetts, PC Single Specialty CurrentSince Oct 30, 2024 Accepting new patients

Locations

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

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

1 Pearl St
Ste 2100
Brockton, MA 02301
Phone (508) 897-6040

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

538 Turnpike St
North Andover, MA 01845
Phone (978) 683-9201

75 Washington St
Norwell, MA 02061

75 Washington St
Ste 200
Norwell, MA 02061
Phone (781) 878-6495

1 Scobee Cir
Ste 3
Plymouth, MA 02360
Phone (508) 747-0711

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

Interoperability endpoints

  • Direct secure messaging: lkaplanpa@southshoreskin.emadirect.md

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": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1073166393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 CONCORD RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762342",
            "telephone_number": "978-764-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PEARL ST STE 2100",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012868",
            "telephone_number": "508-897-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Spring St Fl 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100125208",
            "country_code": "US",
            "telephone_number": "212-343-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "LINDSAY",
        "middle_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "344590",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "RN2331017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.