Individual provider Active NPI

Anne Kananura, NP

  • Family Nurse Practitioner
  • North Billerica, MA
National Provider Identifier
1144892571
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2285136 Issued in MA
Practice address
218 Rangeway Rd Unit 213
North Billerica, MA 01862-2031
Phone
(617) 763-6299
NPI assigned
Jul 14, 2021
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 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 RN2285136 MA Primary

Addresses

Primary practice location

218 Rangeway Rd Unit 213
North Billerica, MA 01862-2031

Mailing address

218 Rangeway Rd Unit 213
North Billerica, MA 01862-2031
Phone (617) 763-6299

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
I20230803003566 MA Practitioner - Nurse Practitioner 1951762137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways Healthcare LLCGroup PAC ID 8729215744, 5 clinicians

Practice addresses (Care Compare)

Westwood, MA 02090
Phone (617) 481-9077

Merit-based Incentive Payment System (MIPS)

Final score
21.72 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2285136MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Healthcare, LLC CurrentSince Jun 20, 2023 Accepting new patients
Jose R. Gutierrez MD PC CurrentSince Nov 13, 2023 Accepting new patients

Locations

1 Great Rd
Acton, MA 01720
Phone (978) 263-9101

101 Station Dr
Ste 240
Westwood, MA 02090
Phone (781) 706-1079

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1144892571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 RANGEWAY RD UNIT 213",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018622031",
            "telephone_number": "617-763-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 RANGEWAY RD UNIT 213",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018622031",
            "telephone_number": "617-763-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANANURA",
        "first_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2285136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Billerica, MA

Sources for this page

Verify at the official NPI Registry.