Individual provider Active NPI

Maria Pilar Matos- Nova, FNP

  • Family Nurse Practitioner
  • Hyde Park, MA
National Provider Identifier
1083348197
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2335616 Issued in MA
Practice address
20 Thatcher St # 2
Hyde Park, MA 02136-3231
Phone
(857) 756-5864
NPI assigned
Jul 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Peritoneal Dialysis Registered Nurse 163WD1100X 2335616 MA
Ambulatory Care Registered Nurse 163WP2201X 2335616 MA
Family Nurse Practitioner 363LF0000X 2335616 MA Primary

Addresses

Primary practice location

20 Thatcher St # 2
Hyde Park, MA 02136-3231

Mailing address

20 Thatcher St # 2
Hyde Park, MA 02136-3231
Phone (857) 756-5864

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
I20231222003220 MA Practitioner - Nurse Practitioner 4880044346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Horizon LLCGroup PAC ID 8628222023, 10 clinicians

Practice addresses (Care Compare)

113 Washington St
Foxboro, MA 02035-1496
Phone (781) 269-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2335616MAMDPeritoneal Dialysis Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Nov 13, 2023 Accepting new patients
New Horizon LLC CurrentSince May 10, 2024 Accepting new patients

Locations

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

113 Washington St
Ste 1
Foxboro, MA 02035
Phone (774) 215-5579

113 Washington St
Foxborough, MA 02035
Phone (508) 543-1553

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1083348197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 THATCHER ST # 2",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363231",
            "telephone_number": "857-756-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 THATCHER ST # 2",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363231",
            "telephone_number": "857-756-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS- NOVA",
        "first_name": "MARIA",
        "middle_name": "PILAR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "MA",
            "license": "2335616",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MA",
            "license": "2335616",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2335616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

Verify at the official NPI Registry.