Individual provider Active NPI

Bamby Forrest, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1124684063
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2272929 Issued in MA
Practice address
27 Park St
Hyannis, MA 02601-5230
Phone
(508) 862-5969
NPI assigned
May 16, 2019
Last updated
Jan 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2272929 MA Primary
Registered Nurse 163W00000X RN2272929 MA

Addresses

Primary practice location

27 Park St
Hyannis, MA 02601-5230

Mailing address

28 Woodside Park
West Dennis, MA 02670-2708
Phone (508) 523-5738

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
I20191003001431 MA Practitioner - Nurse Practitioner 0446581540 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians
Cape Cod Healthcare, Inc.Group PAC ID 4183614209, 19 clinicians

Practice addresses (Care Compare)

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

460 W Main St
Hyannis, MA 02601-3855
Phone (508) 790-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.3 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2272929MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Healthcare Inc. CurrentSince Jan 29, 2021 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Sep 16, 2019 Accepting new patients
Physicians of Falmouth Hospital CurrentSince Jun 1, 2024 Accepting new patients

Locations

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

460 W Main St
Hyannis, MA 02601
Phone (508) 790-3300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1124684063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WOODSIDE PARK",
            "city": "WEST DENNIS",
            "state": "MA",
            "postal_code": "026702708",
            "telephone_number": "508-523-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PARK ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015230",
            "telephone_number": "508-862-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "BAMBY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2272929",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2272929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.