Amanda Lee Assaf, AGNP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Dartmouth, MA
NPI 1235474339 · NPPES record last updated Sep 20, 2020
Key facts
- NPI
- 1235474339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- RN275741 (MA)
- Practice address
- 12 Wayne Memorial Dr
Dartmouth, MA 02747-3125 - Phone
- (508) 989-8734
- NPI assigned
- Nov 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Aco Health Solutions, LLC
Practice addresses (Care Compare)
237 A State Rd
North Dartmouth, MA 02747-2612
Phone (508) 991-9188
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210623002379 | MA | Practitioner - Nurse Practitioner | 9739580184 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG09200089 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aco Health Solutions, LLC | Current |
Accepting new patients | |
| Bay Healthcare LLC | Nurse Practitioner | Current |
Accepting new patients |
| Geriatric Internal Medicine Specialists, LLC | Current |
Accepting new patients |
Locations
19 Taber St
New Bedford, MA 02740
Phone (508) 997-0791
237A State Rd
North Dartmouth, MA 02747
Phone (508) 979-1100
81 Memorial Pkwy
Ofc A
Randolph, MA 02368
Phone (781) 926-3339
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AG09200089 | MA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN275741 | MA | Yes |
Addresses
Primary practice location
12 Wayne Memorial Dr
Dartmouth, MA 02747-3125
Mailing address
12 Wayne Memorial Dr
Dartmouth, MA 02747-3125
Phone (508) 989-8734
Other providers in Dartmouth, MA
- Ana Arruda
- Caitlin Marie Arruda
- Jessica Lynn Arruda
- Helen Arvisais
- David Askew
- Atlantic Clinical PLLC
- Nicole Aubin
- Ava Medical PLLC
- Selina Avelino
- Courtney Bailey
All providers in Dartmouth, MA · Adult Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.