Individual provider Active NPI

Carlo Tan-Alberto

  • Registered Nurse
  • Holyoke, MA
National Provider Identifier
1225993090
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2350960 Issued in MA
Practice address
55 Bobala Rd Ste 1
Holyoke, MA 01040-9688
Phone
(413) 746-3711
NPI assigned
Dec 23, 2025
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2350960 MA Primary

Addresses

Primary practice location

55 Bobala Rd Ste 1
Holyoke, MA 01040-9688

Mailing address

415 Chapin St
Ludlow, MA 01056-2512
Phone (315) 415-3909

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
I20260603002169 MA Practitioner - Nurse Practitioner 8729559497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians

Practice addresses (Care Compare)

230 Main St
Agawam, MA 01001-1838
Phone (413) 789-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2350960MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Centrus Premier Home Care Inc PastSince Dec 28, 2025 Accepting new patients

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": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1225993090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CHAPIN ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562512",
            "telephone_number": "315-415-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BOBALA RD STE 1",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010409688",
            "telephone_number": "413-746-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN-ALBERTO",
        "first_name": "CARLO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2350960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.