Natasa Ristivojevic

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2317980 Issued in MA

Practice address

95 Pleasant St
Lynn, MA 01901-1524

Phone

(781) 581-4400

NPI assigned

Feb 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Juliana S Pires PLLCGroup PAC ID 0840666921, 5 clinicians

Eliot Community Human ServicesGroup PAC ID 2062488000, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore Medical Center - Hospital, Salem, MA, CCN 220035

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.

• Eliot Community Human Services

  dba Eliot Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Concord, MA
  • NPI 1679648182
  Medicare reassignment Care Compare group NPD
• Juliana S Pires PLLC

  dba Birch Grove Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westford, MA
  • NPI 1366022360

  NH

  Medicare reassignment Care Compare group NPD
• Eliot Community Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lexington, MA
  • NPI 1932271632
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Shore Medical Center, Inc.

  dba Salem Hospital

  • General Acute Care Hospital
  • Salem, MA
  • NPI 1730121633
  Care Compare affiliation

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1245821222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HARTWELL AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024213100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 PLEASANT ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011524",
            "telephone_number": "781-581-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Littleton Rd Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Westford",
            "state": "MA",
            "postal_code": "018863530",
            "country_code": "US",
            "telephone_number": "617-600-4506",
            "fax_number": "617-801-8029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Chestnut Dr Unit M",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031105555",
            "country_code": "US",
            "telephone_number": "617-600-4506",
            "fax_number": "617-801-8029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISTIVOJEVIC",
        "first_name": "NATASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2317980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Richter
• Myra Rico, APRN
• Ride on Time Inc
• Caitlin Diane Riley-Kokonezis, RN, BSN, CPNP-AC/PC
• Vanessa Risovic-Dromsky, LICSW
• Altagracia M Rivera, LPN
• Ana Rivera
• Daisy Mariela Rivera, PSYD, LMHC
• Yahaira Rivera
• Caitlin Rizza

• Psychiatric/Mental Health Nurse Practitioner in Lynn, MA
• Providers in Lynn, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.