Active NPI
Rosemarie Paolini, NP
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 172783
- 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, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0308391 | Medicaid | MA | |
| 28308 | Other | MA | HEALTHNET |
| 616882 | Other | MA | TUFTS |
| PN0871 | Other | MA | BLUE CROSS |
| 8303879 | Other | MA | EVERCARE |
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
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 172783 | MA | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| Rose Paolini, LLC | Current | Accepting new patients | |
| Spaulding Rehabilitation Hospital Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| Coastal Medical Associates | Current | Accepting new patients | |
| Edgardo C. Angeles, MD & Associates, PC | Past | Accepting new patients | |
| Luz Evangeline S Dizon MD PC | Past | 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
- 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.
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- East Bridgewater, MA
- NPI 1184199630
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
dba Spaulding Rehabilitation Ambulance
- Land Ambulance
- Cambridge, MA
- NPI 1740250547
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1942250436
-
- Mental Health Counselor
- Middleboro, MA
- NPI 1144332115
-
- Mental Health Counselor
- Brockton, MA
- NPI 1700935988
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.