Individual provider Active NPI

Alyssa M Funicella, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • Melrose, MA
National Provider Identifier
1255816534
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2300774 Issued in MA
Practice address
50 Tremont St Ste 104
Melrose, MA 02176-2721
Phone
(781) 662-6404
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 087529-23 NH
Family Nurse Practitioner 363LF0000X RN2300774 MA Primary

Addresses

Primary practice location

50 Tremont St Ste 104
Melrose, MA 02176-2721

Mailing address

50 Tremont St Ste 104
Melrose, MA 02176-2721
Phone (781) 662-6404

Other practice location 1

27 Londonderry Tpke
Hooksett, NH 03106-2012
Phone (603) 314-5980

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190212000213 MA Practitioner - Nurse Practitioner 3274871538 Reassigns benefits to 1 organization
I20230118000659 NH Practitioner - Nurse Practitioner 3274871538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

27 Londonderry Tpke
Hooksett, NH 03106-2012
Phone (603) 314-5980

Hospital & facility affiliations

  • Vna Home Health and Hospice Services, Inc Home health agency, Manchester, NH, CCN 307003
  • Granite Vna, Inc Home health agency, Concord, NH, CCN 307000
  • Amedisys Home Health Home health agency, Portsmouth, NH, CCN 307006
  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
087529-23NHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Dec 27, 2022 Accepting new patients
Salil K Midha, MD, PC CurrentSince Jan 1, 2019 Accepting new patients
Appledore Medical Group, Inc CurrentSince Feb 1, 2025 Accepting new patients
Catholic Medical Center CurrentSince Dec 27, 2022 Accepting new patients
Appledore Medical Group, Inc. Past Accepting new patients
Joseph L Pennacchio, MD PastSince Jan 1, 2019 Accepting new patients

Locations

50 Tremont St
Ste 104
Melrose, MA 02176
Phone (781) 662-6404

27 Londonderry Tpke
Hooksett, NH 03106
Phone (603) 314-5970

775 S Main St
Manchester, NH 03102
Phone (603) 625-6198

195 McGregor St
Ste 310
Manchester, NH 03102

57 Webster St
Manchester, NH 03104
Phone (603) 622-6491

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: alyssa.funicella@hca6.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1255816534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TREMONT ST STE 104",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762721",
            "telephone_number": "781-662-6404",
            "fax_number": "781-665-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 TREMONT ST STE 104",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762721",
            "telephone_number": "781-662-6404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Londonderry Tpke",
            "address_purpose": "LOCATION",
            "city": "Hooksett",
            "state": "NH",
            "postal_code": "031062012",
            "country_code": "US",
            "telephone_number": "603-314-5980",
            "fax_number": "603-314-5981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNICELLA",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "credential": "MSN, RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "087529-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2300774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

Verify at the official NPI Registry.