Individual provider Active NPI

Rosemarie Paolini, NP

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Brockton, MA
National Provider Identifier
1225025877
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
172783 Issued in MA
Practice address
830 Oak St
Suite 105W
Brockton, MA 02301-1168
Phone
(508) 427-3668
Fax
(508) 427-2610
NPI assigned
Sep 29, 2005
Last updated
Oct 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 172783 MA
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 172783 MA Primary

Addresses

Primary practice location

830 Oak St
Suite 105W
Brockton, MA 02301-1168

Mailing address

830 Oak St
Suite 105W
Brockton, MA 02301-1168
Phone (508) 427-3668

Other identifiers 5

IdentifierTypeStateIssuer
0308391MedicaidMA
28308OtherMAHEALTHNET
616882OtherMATUFTS
PN0871OtherMABLUE CROSS
8303879OtherMAEVERCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050523000580 MA Practitioner - Nurse Practitioner 1254373061 Reassigns benefits to 1 organization
I20081001000142 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 1254373061 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Boston University School of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Rose Paolini LLCGroup PAC ID 6507101805, 2 clinicians
Coastal Medical AssociatesGroup PAC ID 7113029257, 443 clinicians

Practice addresses (Care Compare)

200 Chauncy St
Suite 208
Mansfield, MA 02048-1200
Phone (617) 372-1407

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
172783MAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jan 4, 2017 Accepting new patients
Rose Paolini, LLC CurrentSince Aug 31, 2018 Accepting new patients
Spaulding Rehabilitation Hospital Corporation Current Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Jan 4, 2017 Accepting new patients
Coastal Medical Associates CurrentSince Dec 1, 2018 Accepting new patients
Edgardo C. Angeles, MD & Associates, PC PastSince Apr 1, 2005 Accepting new patients
Luz Evangeline S Dizon MD PC PastSince Jan 1, 2007 Accepting new patients
Cogent Healthcare of Brockton, PC Past Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

1575 Cambridge St
Cambridge, MA 02138
Phone (617) 349-5700

100 Laurel St
Ste 210
East Bridgewater, MA 02333
Phone (617) 372-1407

200 Chauncy St
Ste 208
Mansfield, MA 02048
Phone (617) 372-1407

141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

Interoperability endpoints

  • Direct secure messaging: paolini.rosemarie.shc@direct.partners.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1225025877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 OAK ST",
            "address_2": "SUITE 105W",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011168",
            "telephone_number": "508-427-3668",
            "fax_number": "508-427-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OAK ST",
            "address_2": "SUITE 105W",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011168",
            "telephone_number": "508-427-3668",
            "fax_number": "508-427-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLINI",
        "first_name": "ROSEMARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "172783",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "172783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0308391",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "28308",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "616882",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "PN0871",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "8303879",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.