Individual provider Active NPI

Lisa M Simonian, NP

  • Adult Health Nurse Practitioner
  • Cambridge, MA
National Provider Identifier
1144203266
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
194643 Issued in MA
Practice address
1575 Cambridge St
Youville Hospital
Cambridge, MA 02138-4398
Phone
(617) 876-4344
Fax
(617) 234-7981
NPI assigned
Nov 22, 2005
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN194643 MA
Adult Health Nurse Practitioner 363LA2200X 194643 MA Primary

Addresses

Primary practice location

1575 Cambridge St
Youville Hospital
Cambridge, MA 02138-4398

Mailing address

46 Anderson Dr
Methuen, MA 01844-7409
Phone (978) 685-9121

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
I20040127000808 MA Practitioner - Nurse Practitioner 0648173864 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
194643MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jul 1, 2016 Accepting new patients
Essex Inpatient Physicians, PC CurrentSince Jul 21, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 23, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 23, 2018 Accepting new patients
Spaulding Rehabilitation Hospital Corporation Current Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Oct 1, 2014 Accepting new patients
Healthplus LLC CurrentSince Oct 4, 2020 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1575 Cambridge St
Cambridge, MA 02138
Phone (617) 349-5700

145 Ward Hill Ave
Haverhill, MA 01835
Phone (978) 254-4983

76 Summer St
Haverhill, MA 01830
Phone (978) 258-4734

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

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

451 Andover St
Ste 110
North Andover, MA 01845
Phone (978) 794-2000

795 Turnpike St
#201202
North Andover, MA 01845
Phone (978) 372-8000

Interoperability endpoints

  • Direct secure messaging: simonian.lisa.shc@direct.partners.masshiway.net

Organizations & group practices 7

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 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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1144203266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ANDERSON DR",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018447409",
            "telephone_number": "978-685-9121",
            "fax_number": "617-234-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 CAMBRIDGE ST",
            "address_2": "YOUVILLE HOSPITAL",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384398",
            "telephone_number": "617-876-4344",
            "fax_number": "617-234-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONIAN",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN194643",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "194643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.