Marie Pierre Anderson, GNP
Individual provider Active NPI Gerontology Nurse Practitioner · Haverhill, MA
NPI 1124157771 · NPPES record last updated Mar 31, 2014
Key facts
- NPI
- 1124157771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 177501 (MA)
- Practice address
- 1 Merrimack Street
Haverhill Family Practice
Haverhill, MA 01830 - Phone
- (978) 521-6555
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Haverhill Family Care
Haverhill Family Office LLC
Practice addresses (Care Compare)
62 Brown St
Haverhill, MA 01830-6778
Phone (978) 521-6555
62 Brown St
Suite 502
Haverhill, MA 01830-6790
Phone (978) 521-6555
Hospital & facility affiliations
- Haverhill Rehabilitation and Healthcare Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100311000854 | MA | Practitioner - Nurse Practitioner | 4981739208 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177501 | MA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Healthcare, LLC | Current |
Accepting new patients | |
| Jolie Pieds PLLC | Current |
Accepting new patients | |
| Haverhill Family Office, LLC | Current |
Accepting new patients | |
| Northeast Behavioral Health Corporation | Current |
Accepting new patients | |
| Haverhill Family Care | Current |
Accepting new patients | |
| Haverhill SNF Operations LLC | Past | Accepting new patients | |
| HDH Corporation | Past | Accepting new patients |
Locations
199 Rosewood Dr
Ste 250
Danvers, MA 01923
Phone (978) 867-7756
62 Brown St
Ste 502
Haverhill, MA 01830
Phone (978) 521-6555
62 Brown St
Ste 501
Haverhill, MA 01830
Phone (978) 521-6555
62 Brown St
Ste 404
Haverhill, MA 01830
Phone (978) 521-6555
62 Brown St
Haverhill, MA 01830
Phone (978) 521-6555
12 Methuen St
Ste 3
Lawrence, MA 01840
Phone (978) 683-3128
52 Inn St
Newburyport, MA 01950
Phone (978) 462-4644
101 Station Dr
Ste 240
Westwood, MA 02090
Phone (781) 706-1079
Interoperability endpoints
- manderson136882@tuftsmedicine.direct-ci.com
- https://fhir4.healow.com/fhir/r4/CHAACD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 177501 | MA | Yes |
Addresses
Primary practice location
1 Merrimack Street
Haverhill Family Practice
Haverhill, MA 01830
Mailing address
7 Pleasant Street
Merrimac, MA 01860-1945
Phone (978) 346-4534
Other providers in Haverhill, MA
- Alexandra Alvino
- Susy Amador
- Amanda K Hruby-Waters
- Samuel Joseph Amari Jr.
- Spencer Ames
- Alda Andoni
- Patricia Ann Andrews
- Angel Care Kids Therapy Center Inc.
- Angel Care Occupational Therapy Center
- Angel Care OT Center
All providers in Haverhill, MA · Gerontology Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.