Individual provider Active NPI

Sarah Simonelli, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1205234390
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN237619 Issued in MA
Practice address
259A North St
Hyannis, MA 02601-3823
Phone
(508) 862-0514
NPI assigned
Dec 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN237619 MA Primary

Addresses

Primary practice location

259A North St
Hyannis, MA 02601-3823

Mailing address

259A North St
Hyannis, MA 02601-3823
Phone (508) 862-0514

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
I20231013001979 MA Practitioner - Nurse Practitioner 8022463892 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

259 A N St
Suite 1 and 2ND Floor
Hyannis, MA 02601-3823
Phone (508) 862-0514

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of Cape Cod Hospital CurrentSince Nov 12, 2023 Accepting new patients
Physicians of Falmouth Hospital CurrentSince Nov 12, 2023 Accepting new patients
Northeast Health Services, LLC CurrentSince Oct 1, 2023 Accepting new patients
Northeast Health Services PastSince Oct 1, 2023 Accepting new patients

Locations

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

259 North St
Ste 1
Hyannis, MA 02601
Phone (508) 862-0514

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, 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": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1205234390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259A NORTH ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013823",
            "telephone_number": "508-862-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259A NORTH ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013823",
            "telephone_number": "508-862-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONELLI",
        "first_name": "SARAH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-05",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN237619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.