Kandra L Vincent, RNP
Individual provider Active NPI Adult Health Nurse Practitioner · New Bedford, MA
NPI 1154408367 · NPPES record last updated Nov 27, 2013
Key facts
- NPI
- 1154408367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- RN258478 (MA)
- Practice address
- 874 Purchase St
New Bedford, MA 02740-6232 - Phone
- (508) 992-6553
- Fax
- (508) 984-8420
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Crausman Medical Associates LLC
Practice addresses (Care Compare)
5 Adams Cir
Rehoboth, MA 02769-1430
Phone (508) 223-6172
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 |
|---|---|---|---|---|
| I20130401000399 | MA | Practitioner - Nurse Practitioner | 1153424510 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Hospitals Group, Inc | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current |
Accepting new patients | |
| Southcoast Hospitals Group Inc | Current |
Accepting new patients | |
| Southcoast Hospitals Group, Inc | Current |
Accepting new patients | |
| The Commonwealth of Massachusetts | Current |
Accepting new patients | |
| Crausman Medical Associates LLC | Current |
Accepting new patients | |
| Rhode Island Cardiovascular Group | Past | Accepting new patients | |
| Cedarz Medical and Cosmedics,Inc. | Past | Accepting new patients |
Locations
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553
60 Hodges Ave
Taunton, MA 02780
Phone (508) 977-3134
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NPP37379 | RI | |
| Adult Health Nurse Practitioner | 363LA2200X | RN258478 | MA | Yes |
Addresses
Primary practice location
874 Purchase St
New Bedford, MA 02740-6232
Mailing address
874 Purchase St
New Bedford, MA 02740-6232
Phone (508) 992-6553
Other providers in New Bedford, MA
- Thomas Viera
- Tiffany M Viera
- Village Physical Therapy PC
- Rebecca Lynne Villineau
- Rosa Vinagre
- Susan A Vincent
- Nicole Kathryn Viveiros
- Thomas Randal Viveiros
- Tracy Vo
- Kveta Vojkovska
All providers in New Bedford, MA · Adult Health 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 Nov 27, 2013. 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.