Individual provider Active NPI

Erik Rosum, APRN

  • Nurse Practitioner
  • Danvers, MA
National Provider Identifier
1093295693
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN276864 Issued in MA
Practice address
75 Sylvan St Ste B102
Danvers, MA 01923-2764
Phone
(888) 283-1722
NPI assigned
Aug 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN276864 MA Primary

Addresses

Primary practice location

75 Sylvan St Ste B102
Danvers, MA 01923-2764

Mailing address

45 Forest Acres Dr Apt F
Bradford, MA 01835-7040
Phone (978) 473-4990

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
I20190703002948 MA Practitioner - Nurse Practitioner 8921333436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Dimensions IncGroup PAC ID 7214924554, 16 clinicians

Practice addresses (Care Compare)

75 Sylvan St
Suite B102
Danvers, MA 01923-2764
Phone (978) 774-7566

Hospital & facility affiliations

National Provider Directory

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

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1093295693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FOREST ACRES DR APT F",
            "city": "BRADFORD",
            "state": "MA",
            "postal_code": "018357040",
            "telephone_number": "978-473-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SYLVAN ST STE B102",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232764",
            "telephone_number": "888-283-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSUM",
        "first_name": "ERIK",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN276864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.