Individual provider Active NPI

Stephanie Ann Whippen, AGACNP

  • Gerontology Nurse Practitioner
  • Methuen, MA
National Provider Identifier
1114432895
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN2266773 Issued in MA
Practice address
70 East St
Methuen, MA 01844-4597
Phone
(978) 687-0151
NPI assigned
Dec 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN2266773 MA
Gerontology Nurse Practitioner 363LG0600X RN2266773 MA Primary

Addresses

Primary practice location

70 East St
Methuen, MA 01844-4597

Mailing address

PO Box 26311
Belfast, ME 04915-2014

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
I20210331000043 MA Practitioner - Nurse Practitioner 9032526462 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novella Medicine Services of Massachusetts, PLLC CurrentSince Dec 6, 2024 Accepting new patients
Incare LLC CurrentSince Mar 1, 2021 Accepting new patients
Novella Medicine Services of Massachusetts, PLLC CurrentSince Dec 6, 2024 Accepting new patients

Locations

48 Dunham Rd
Ste 4150
Beverly, MA 01915

575 Mount Auburn St
Ste B102
Cambridge, MA 02138
Phone (617) 240-6713

50 Redfield St
Ste 208
Dorchester, MA 02122

95 Tremont St
Ste 3
Duxbury, MA 02332

1575 N Main St
Fall River, MA 02720
Phone (508) 324-0328

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

62 Brown St
Ste 501
Haverhill, MA 01830
Phone (978) 521-6555

22 South St
Ste 201
Hopkinton, MA 01748

70 East St
Methuen, MA 01844
Phone (978) 682-1906

565 Turnpike St
Ste 85
North Andover, MA 01845
Phone (978) 519-4114

198 Charlton Rd
Ste 206
Sturbridge, MA 01566
Phone (508) 765-1600

91 Washington St
Unit 202
Taunton, MA 02780
Phone (508) 386-9888

210 Bear Hill Rd
Ste 204
Waltham, MA 02451
Phone (518) 321-4537

1275 Elm St
Ste D
West Springfield, MA 01089
Phone (860) 334-4835

349 Main St
Ste C
West Yarmouth, MA 02673

506 Groton Rd
Ste B
Westford, MA 01886

1221 Main St
Ste 404
Weymouth, MA 02190

23 Warren Ave
#145
Woburn, MA 01801

416 Belmont St
Ste 202
Worcester, MA 01604

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD
  • FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4
  • Direct secure messaging: swhippen26852@tuftsmedicine.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1114432895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26311",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 EAST ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444597",
            "telephone_number": "978-687-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPEN",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN2266773",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2266773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.