Amanda Lee Assaf, AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN275741 Issued in MA

Practice address

12 Wayne Memorial Dr
Dartmouth, MA 02747-3125

Phone

(508) 989-8734

NPI assigned

Nov 30, 2012

Last updated

Sep 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

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, LLCGroup PAC ID 2668665480, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aco Health Solutions, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Dartmouth, MA
  • NPI 1306161443
  Medicare reassignment Care Compare group NPD
• Bay Healthcare LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Randolph, MA
  • NPI 1659097483
  Medicare reassignment NPD
• Geriatric Internal Medicine Specialists, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • North Dartmouth, MA
  • NPI 1437454287
  Medicare reassignment NPD
• Ava Medical PLLC

  • Primary Care Clinic/Center
  • Dartmouth, MA
  • NPI 1811736580
  Authorized official Same address or phone

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600560000000",
    "number": "1235474339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WAYNE MEMORIAL DR",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473125",
            "telephone_number": "508-989-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WAYNE MEMORIAL DR",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473125",
            "telephone_number": "508-989-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSAF",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "AG09200089",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN275741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Arruda, MS
• Caitlin Marie Arruda, RN
• Jessica Lynn Arruda
• Helen Arvisais
• David Askew, DDS
• Atlantic Clinical PLLC
• Nicole Aubin
• Ava Medical PLLC
• Selina Avelino
• Courtney Bailey, FNP-BC

• Adult Health Nurse Practitioner in Dartmouth, MA
• Providers in Dartmouth, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2020; 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.

Verify at the official NPI Registry.