Individual provider Active NPI

Daniel Paul Nordquist, PA-C

  • Physician Assistant
  • Mashpee, MA
National Provider Identifier
1205390176
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA6901 Issued in MA
Practice address
5 Industrial Dr Ste 202
Mashpee, MA 02649-3465
Phone
(508) 539-2444
NPI assigned
Jan 25, 2019
Last updated
Jul 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA6901 MA Primary

Addresses

Primary practice location

5 Industrial Dr Ste 202
Mashpee, MA 02649-3465

Mailing address

5 Industrial Dr Ste 202
Mashpee, MA 02649-3465
Phone (508) 539-2444

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
I20190318002583 MA Practitioner - Physician Assistant 6305186990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bernard J Durante MD PCGroup PAC ID 3577539410, 16 clinicians

Practice addresses (Care Compare)

1 County Rd
Bourne, MA 02532-3756
Phone (508) 746-8977

30 Aldrin Rd
Plymouth, MA 02360-4804
Phone (508) 746-8977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA6901MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bernard J Durante MD PC CurrentSince Feb 4, 2019 Accepting new patients
Bernard J Durante MD PC Past Accepting new patients

Locations

30 Aldrin Rd
Plymouth, MA 02360
Phone (508) 746-8977

544 Main St
Weymouth, MA 02190
Phone (508) 746-8977

Interoperability endpoints

  • Direct secure messaging: dnordquist253008@direct.bilh.masshiway.net

Organizations & group practices 2

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": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1205390176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 INDUSTRIAL DR STE 202",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493465",
            "telephone_number": "508-539-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 INDUSTRIAL DR STE 202",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493465",
            "telephone_number": "508-539-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDQUIST",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-25",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

Verify at the official NPI Registry.