Daniela Ilcenco, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2318246 Issued in MA

Practice address

44 South St
Rockport, MA 01966-1800

Phone

(978) 546-6311

NPI assigned

Oct 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blueprinthealthcare.danielailcenco@159334.advancedmd-direct.com

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.

• Blueprint Healthcare LLC

  • Internal Medicine Physician
  • Fitchburg, MA
  • NPI 1467927483

  MA

  Medicare reassignment NPD

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1093479529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HOVEY ST APT 2",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019303658",
            "telephone_number": "978-704-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SOUTH ST",
            "city": "ROCKPORT",
            "state": "MA",
            "postal_code": "019661800",
            "telephone_number": "978-546-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILCENCO",
        "first_name": "DANIELA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-30",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2318246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Gray
• Kirsten Grimes
• Krista D Haley, MS CCC-SLP
• Katherine Haselgard, LCSW
• Home Care Lactation LLC
• Lynnlee Jordan, EDM, MSW
• Karine Jouhourian
• Amy Lynn Kamm, L.I.C.S.W.
• Barbara Joyce Kaplan, CCC-SLP
• Melinda Love Kerwin

• All providers in Rockport, MA
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.

Verify at the official NPI Registry.