Active NPI
Isabella Bauters, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Sudbury, MA
National Provider Identifier
1275919649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN2292098
- Practice address
- 323 Boston Post Rd Ste 4C
Sudbury, MA 01776-3022 - Phone
- (978) 443-6960
- Fax
- (978) 443-6502
- NPI assigned
- Aug 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2292098 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2292098 | MA | Primary |
Addresses
Primary practice location
323 Boston Post Rd Ste 4C
Sudbury, MA 01776-3022
Mailing address
323 Boston Post Rd Ste 4C
Sudbury, MA 01776-3022
Phone (978) 443-6960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 15, 2017 through Feb 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2292098 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Isabella Mariano LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| South Bay Mental Health | Past | Accepting new patients |
Locations
323 Boston Post Rd
Ste 4C
Sudbury, MA 01776
Phone (978) 261-7640
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 and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Sudbury, MA
- NPI 1275357311
-
- Case Management Agency
- Salem, MA
- NPI 1649616871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1275919649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 BOSTON POST RD STE 4C",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017763022",
"telephone_number": "978-443-6960",
"fax_number": "978-443-6502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 BOSTON POST RD STE 4C",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017763022",
"telephone_number": "978-443-6960",
"fax_number": "978-443-6502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUTERS",
"first_name": "ISABELLA",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-07",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2292098",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2292098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sudbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.