Individual provider Active NPI

Neena Papneja, NP

  • Nurse Practitioner
  • Danvers, MA
National Provider Identifier
1104170349
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
129599 Issued in TX
Practice address
450 Maple St
Danvers, MA 01923-4009
Phone
(978) 744-5000
NPI assigned
Nov 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 256544 MA
Nurse Practitioner 363L00000X 129599 TX Primary

Addresses

Primary practice location

450 Maple St
Danvers, MA 01923-4009

Mailing address

450 Maple St
Danvers, MA 01923-4009
Phone (978) 744-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160216001041 TX Practitioner - Nurse Practitioner 0749592855 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation and Physical Medicine LLCGroup PAC ID 6800078759, 17 clinicians

Practice addresses (Care Compare)

7930 Northaven Rd
Dallas, TX 75230-3331
Phone (214) 706-8200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256544MAMDCommunity/Behavioral Health Agency
129599TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Physiatry Group LLC CurrentSince Aug 1, 2017 Accepting new patients
Medinet Healthcare Agency Inc CurrentSince Jul 1, 2017 Accepting new patients
Rehabilitation & Physical Medicine LLC CurrentSince Mar 6, 2024 Accepting new patients

Locations

4425 Plano Pkwy
Ste 203
Carrollton, TX 75010
Phone (972) 752-6206

7930 Northaven Rd
Dallas, TX 75230
Phone (214) 706-8200

5050 Quorum Dr
Ste 700
Dallas, TX 75254
Phone (214) 402-0101

611 N MacArthur Blvd
Ste 110
Irving, TX 75061
Phone (972) 253-4904

850 Central Pkwy E
Ste 275
Plano, TX 75074

819 W Arapaho Rd
Ste 24B
Richardson, TX 75080
Phone (469) 773-0710

1419 Mahlmann St
Rosenberg, TX 77471
Phone (281) 342-0065

Organizations & group practices 3

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": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1104170349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MAPLE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234009",
            "telephone_number": "978-744-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MAPLE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234009",
            "telephone_number": "978-744-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPNEJA",
        "first_name": "NEENA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "256544",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "129599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.