Individual provider Active NPI

Ani Pavli, FNP

  • Family Nurse Practitioner
  • Lawrence, MA
National Provider Identifier
1124620604
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2317068 Issued in MA
Practice address
290 Merrimack St Ste 205
Lawrence, MA 01843-1783
Phone
(978) 655-5349
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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 2317068 MA Primary

Addresses

Primary practice location

290 Merrimack St Ste 205
Lawrence, MA 01843-1783

Mailing address

290 Merrimack St Ste 205
Lawrence, MA 01843-1783
Phone (978) 655-5349

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
I20211109001306 MA Practitioner - Nurse Practitioner 0547659716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

354 Merrimack St
Suite 351
Lawrence, MA 01843-1785
Phone (978) 560-9039

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2317068MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bestself Primary Care & Med Spa LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

354 Merrimack St
Ste 351
Lawrence, MA 01843
Phone (978) 560-9039

Interoperability endpoints

  • Direct secure messaging: ani.pavli.1@32094.direct.athenahealth.com

Organizations & group practices 1

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": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1124620604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 MERRIMACK ST STE 205",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431783",
            "telephone_number": "978-655-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MERRIMACK ST STE 205",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431783",
            "telephone_number": "978-655-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLI",
        "first_name": "ANI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2317068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.