Individual provider Active NPI

Stephen Segatore Jr., DNP, FNP-C

  • Family Nurse Practitioner
  • Orange, MA
National Provider Identifier
1174073019
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
231349 Issued in MA
Practice address
450 W River St
Orange, MA 01364-1435
Phone
(978) 544-7800
NPI assigned
Oct 4, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center of Franklin County Incorporated 24 clinicians

Practice addresses (Care Compare)

102 Main St
Greenfield, MA 01301-3224

102 Main St
Greenfield, MA 01301-3275
Phone 4133258500109

119 New Athol Rd
Orange, MA 01364-9603
Phone (978) 544-7800

Hospital & facility affiliations

  • Athol Memorial Hospital Hospital, Athol, MA, CCN 221303
  • Heywood Hospital - Hospital, Gardner, MA, CCN 220095
  • Baystate Franklin Medical Center Hospital, Greenfield, MA, CCN 220016

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
I20170104000311 MA Practitioner - Nurse Practitioner 4486935574 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
231349MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Sep 1, 2017 Accepting new patients
Community Health Center of Franklin County Incorporated CurrentSince Oct 11, 2016 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Sep 1, 2017 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Sep 1, 2017 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Sep 1, 2017 Accepting new patients
Community Health Center of Franklin County Incorporated CurrentSince Oct 11, 2016 Accepting new patients
Community Health Center of Franklin County Incorporated Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

489 Bernardston Rd
Ste 108
Greenfield, MA 01301
Phone (413) 325-8500

102 Main St
Greenfield, MA 01301
Phone (413) 325-8500

119 New Athol Rd
Orange, MA 01364
Phone (978) 249-9033

119 New Athol Rd
Ste 110
Orange, MA 01364

450 W River St
Orange, MA 01364
Phone (978) 544-1505

Interoperability endpoints

  • Direct secure messaging: ssegatore20904@direct.ctc.masshiway.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 231349 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

450 W River St
Orange, MA 01364-1435

Mailing address

18 Lake St
West Brookfield, MA 01585-2871
Phone (508) 637-1276

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2016.

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1174073019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LAKE ST",
            "city": "WEST BROOKFIELD",
            "state": "MA",
            "postal_code": "015852871",
            "telephone_number": "508-637-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W RIVER ST",
            "city": "ORANGE",
            "state": "MA",
            "postal_code": "013641435",
            "telephone_number": "978-544-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGATORE",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "231349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, MA

Sources for this page

Verify at the official NPI Registry.