Individual provider Active NPI

Elizabeth Shuman, RNPC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Danvers, MA
National Provider Identifier
1114237419
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
RN103020 Issued in MA
Practice address
480 Maple St
Center for Healthy Aging
Danvers, MA 01923-4065
Phone
(978) 646-7070
Fax
(978) 750-6988
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X RN103020 MA Primary

Addresses

Primary practice location

480 Maple St
Center for Healthy Aging
Danvers, MA 01923-4065

Mailing address

480 Maple St
Center for Healthy Aging
Danvers, MA 01923-4065
Phone (978) 646-7070

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
I20110210001166 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 5496935280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

298 Washington St
Gloucester, MA 01930-4832
Phone (978) 281-6460

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN103020MAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Northeast Hospital Corporation CurrentSince Jul 1, 2012 Accepting new patients
Northeast Hospital Corp. Past Accepting new patients
Northeast Behavioral Health Corporation PastSince May 8, 2017 Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

480 Maple St
#201
Danvers, MA 01923
Phone (978) 646-7070

480 Maple St
Ste 201
Danvers, MA 01923
Phone (978) 646-7070

480 Maple St
Danvers, MA 01923
Phone (978) 304-8380

298 Washington St
Gloucester, MA 01930
Phone (978) 283-4000

Interoperability endpoints

  • Direct secure messaging: eshuman32525@direct.bilh.masshiway.net

Organizations & group practices 4

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 2

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1114237419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 MAPLE ST",
            "address_2": "CENTER FOR HEALTHY AGING",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234065",
            "telephone_number": "978-646-7070",
            "fax_number": "978-750-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MAPLE ST",
            "address_2": "CENTER FOR HEALTHY AGING",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234065",
            "telephone_number": "978-646-7070",
            "fax_number": "978-750-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAN",
        "first_name": "ELIZABETH",
        "credential": "RNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN103020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.