Individual provider Active NPI

Vanessa Bailey, NP-C

  • Family Nurse Practitioner
  • Leominster, MA
National Provider Identifier
1174931885
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN283019 Issued in MA
Practice address
14 Manning Ave
Leominster, MA 01453-5768
Phone
(978) 847-0110
Fax
(979) 847-0112
NPI assigned
Jul 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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 RN283019 MA Primary

Addresses

Primary practice location

14 Manning Ave
Leominster, MA 01453-5768

Mailing address

326 Nichols Rd
Fitchburg, MA 01420-1914
Phone (978) 878-8100

Other practice location 1

54 Main St Ste 101
Leominster, MA 01453-5545
Phone (978) 447-3125

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
I20141201001605 MA Practitioner - Nurse Practitioner 8820310972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Community Health Connections, IncGroup PAC ID 8729074992, 91 clinicians

Practice addresses (Care Compare)

529 Timpany Blvd
Gardner, MA 01440-3451
Phone (978) 878-8100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Connections, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Sunrise Weight Loss and Wellness, LLC CurrentSince Jan 19, 2025 Accepting new patients
Community Health Connections, Inc. Past Accepting new patients

Locations

326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270

175 Connors St
Gardner, MA 01440
Phone (978) 410-6100

529 Timpany Blvd
Gardner, MA 01440
Phone (978) 400-3031

165 Mill St
Leominster, MA 01453
Phone (978) 466-3208

14 Manning Ave
Leominster, MA 01453
Phone (978) 847-0110

54 Main St
Ste 101
Leominster, MA 01453
Phone (978) 447-3125

Interoperability endpoints

  • Direct secure messaging: vanessa.bailey.npi1174931885.reliant@direct.optumcare.masshiway.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1174931885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 NICHOLS RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014201914",
            "telephone_number": "978-878-8100",
            "fax_number": "978-878-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MANNING AVE",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014535768",
            "telephone_number": "978-847-0110",
            "fax_number": "979-847-0112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Leominster",
            "state": "MA",
            "postal_code": "014535545",
            "country_code": "US",
            "telephone_number": "978-447-3125",
            "fax_number": "978-849-9950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "VANESSA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN283019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.