Active NPI
Worcester Physicians and Nurses Services LLC
- Internal Medicine Physician
- Worcester, MA
National Provider Identifier
1164993291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WORCESTER PHYSICIANS AND NURSES SERVICES LLC
- Practice address
- 111 Elm St Ste 201
Worcester, MA 01609-1967 - Phone
- (508) 556-1072
- NPI assigned
- Dec 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynn Gervais
- Title
- Practice Manager
- Phone
- (508) 556-1072
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
111 Elm St Ste 201
Worcester, MA 01609-1967
Mailing address
111 Elm St Ste 201
Worcester, MA 01609-1967
Phone (508) 556-1072
Other names 1
- WPNS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
39 Queen St
Fl 4
Worcester, MA 01610
Phone (508) 556-1072
111 Elm St
Ste 210
Worcester, MA 01609
111 Elm St
Worcester, MA 01609
Phone (508) 756-3750
111 Elm St
Ste 201
Worcester, MA 01609
Phone (508) 556-1072
39 Queen St
Worcester, MA 01610
Phone (508) 481-6123
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1972823870
-
- Family Nurse Practitioner
- North Brookfield, MA
- NPI 1154205672
-
- Nurse Practitioner
- Worcester, MA
- NPI 1326693086
-
- Family Nurse Practitioner
- Leominster, MA
- NPI 1326573387
-
- Nurse Practitioner
- Worcester, MA
- NPI 1457996704
-
- Clinical Social Worker
- Worcester, MA
- NPI 1023461381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731974400000",
"number": "1164993291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ELM ST STE 201",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091967",
"telephone_number": "508-556-1072",
"fax_number": "508-318-8037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 ELM ST STE 201",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091967",
"telephone_number": "508-556-1072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WORCESTER PHYSICIANS AND NURSES SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-16",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A",
"authorized_official_last_name": "GERVAIS",
"authorized_official_first_name": "LYNN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "508-556-1072"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WPNS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Worcester, MA
- Worcester Parson SNF Operations, LLC (Parsons Hill Rehabilitation & Health Care Center)
- Worcester Pediatric Dental Group LLC (Worcester Kids' Dentist)
- Worcester Pediatrics PC
- Worcester Pharmacy LLC (Boulevard Pharmaceutical Compounding Center)
- Worcester Physical Therapy Services, Inc.
- Worcester Polytechnic Institute
- Worcester Quality Dental. PC
- Worcester Refugee and Immigrant Support and Empowerment Rise for Health (Worcester RISE for Health)
- Worcester Rehab SNF Operations, LLC (Worcester Rehabilitation & Health Care Center)
- Worcester Smile Studio PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.