Carolyn Cipolla, CNP
Individual provider Active NPI Family Nurse Practitioner · Hanover, MA
NPI 1235640681 · NPPES record last updated Oct 12, 2017
Key facts
- NPI
- 1235640681
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2284663 (MA)
- Practice address
- 105 Webster St
Hanover, MA 02339-1227 - Phone
- (781) 754-6545
- NPI assigned
- Oct 12, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Norwell Visiting Nurse Association Inc
Practice addresses (Care Compare)
120 Longwater Dr
Suite 200
Norwell, MA 02061-1653
Phone (781) 659-2342
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 |
|---|---|---|---|---|
| I20171024001931 | MA | Practitioner - Nurse Practitioner | 9931475670 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2284663 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Insight Inc | Current |
Accepting new patients | |
| Pinnacle Health Management, LLP | Current |
Accepting new patients |
Locations
105 Webster St
Ste 8
Hanover, MA 02339
Phone (781) 312-7457
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2284663 | MA | Yes |
Addresses
Primary practice location
105 Webster St
Hanover, MA 02339-1227
Mailing address
42 Common St
Quincy, MA 02169-1610
Other names
- Carolyn Henry
Other providers in Hanover, MA
- Alfredo R Chan
- Charles C Hur DMD P.C.
- Melinda Chase
- Chrisann Merrick, Licsw PC
- Shannon Ciavarra
- Citywide Behavioral Health Inc
- Civis LLC
- Julie Jasper Clancy
- Antoinette Clapp
- Coastal Integrative Mental Health Inc.
All providers in Hanover, MA · Family 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 Oct 12, 2017. 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.