NPIMap

Individual provider Active NPI

Tracy Ann Ramos

  • Gerontology Nurse Practitioner
  • North Andover, MA
National Provider Identifier
1255515359
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
198648 Issued in MA
Practice address
575 Turnpike St Ste 25
North Andover, MA 01845-5937
Phone
(978) 290-4646
Fax
(978) 290-4822
NPI assigned
Dec 26, 2007
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 198648 MA Primary

Addresses

Primary practice location

575 Turnpike St Ste 25
North Andover, MA 01845-5937

Mailing address

575 Turnpike St Ste 25
North Andover, MA 01845-5937
Phone (978) 290-4646

Other identifiers 2

IdentifierTypeStateIssuer
0716740MedicaidMA
NP9384OtherMABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080211000170 MA Practitioner - Nurse Practitioner 0042393357 Reassigns benefits to 1 organization
I20210106002271 NH Practitioner - Nurse Practitioner 0042393357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
First Choice Community Medical Services PCGroup PAC ID 5991016933, 11 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

575 Turnpike St
Suite 25
North Andover, MA 01845-5937
Phone (978) 290-4646

674 W Hollis St
Nashua, NH 03062-1347
Phone (978) 290-4646

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
198648MAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Community Medical Services PC CurrentSince Apr 12, 2015 Accepting new patients

Locations

200 Washington St
Boxford, MA 01921
Phone (978) 290-4646

575 Turnpike St
Ste 25
North Andover, MA 01845
Phone (978) 290-4646

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1255515359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 TURNPIKE ST STE 25",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455937",
            "telephone_number": "978-290-4646",
            "fax_number": "978-290-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 TURNPIKE ST STE 25",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455937",
            "telephone_number": "978-290-4646",
            "fax_number": "978-290-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "198648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0716740",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "NP9384",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.