NPIMap

Individual provider Active NPI

Andrew Staffier, NP

  • Family Nurse Practitioner
  • Everett, MA
National Provider Identifier
1114926094
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
237174-NP Issued in MA
Practice address
596 Broadway
Everett, MA 02149-3743
Phone
(617) 387-3330
Fax
(617) 387-0827
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 237174-NP MA Primary

Addresses

Primary practice location

596 Broadway
Everett, MA 02149-3743

Mailing address

596 Broadway
Everett, MA 02149-3743
Phone (617) 387-3330

Other identifiers 2

IdentifierTypeStateIssuer
NP3518OtherMABCBSMA
0321435MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000460 MA Practitioner - Nurse Practitioner 0446292379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mass General Brigham Community Physicians IncGroup PAC ID 1759273436, 430 clinicians

Practice addresses (Care Compare)

101 Main St
Medford, MA 02155-4530
Phone (781) 395-4761

170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909

Hospital & facility affiliations

  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • All Care Vna-Greater Lynn Inc Home health agency, Lynn, MA, CCN 227263
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Winchester Hospital Hospital, Winchester, MA, CCN 220105
  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237174-NPMAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
President & Fellows of Harvard College CurrentSince Oct 12, 2001 Accepting new patients
President and Fellows of Harvard College CurrentSince Oct 12, 2001 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Dec 2, 2019 Accepting new patients

Locations

188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434

75 Mount Auburn St
#H
Cambridge, MA 02138
Phone (617) 495-4414

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

Interoperability endpoints

  • Direct secure messaging: staffier.andrew.jfymd@direct.partners.masshiway.net

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.

Hospital & facility affiliations 7

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1114926094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493743",
            "telephone_number": "617-387-3330",
            "fax_number": "617-387-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493743",
            "telephone_number": "617-387-3330",
            "fax_number": "617-387-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFIER",
        "first_name": "ANDREW",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "237174-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "NP3518",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0321435",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, MA

Sources for this page

Verify at the official NPI Registry.