Individual provider Active NPI

Sarim P Poirier

  • Neuroscience Registered Nurse
  • Lowell, MA
National Provider Identifier
1285133470
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroscience Registered NurseTaxonomy code 163WN0800X
License
RN260349 Issued in MA
Practice address
595 Pawtucket Blvd
Lowell, MA 01854-2042
Phone
(978) 453-8261
NPI assigned
Feb 2, 2018
Last updated
Apr 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroscience Registered Nurse 163WN0800X RN260349 MA Primary

Addresses

Primary practice location

595 Pawtucket Blvd
Lowell, MA 01854-2042

Mailing address

595 Pawtucket Blvd
Lowell, MA 01854-2042
Phone (978) 453-8261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190108003076 MA Practitioner - Nurse Practitioner 7113263476 Reassigns benefits to 1 organization

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
Mill City Medical Group LTDGroup PAC ID 3577507797, 19 clinicians

Practice addresses (Care Compare)

595 Pawtucket Blvd
Suite 2
Lowell, MA 01854-2042
Phone (978) 955-9500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN260349MAMDNeuroscience Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mill City Medical Group LTD CurrentSince Jun 16, 2023 Accepting new patients
Pratt Medical Group, Inc PastSince Nov 26, 2021 Accepting new patients

Locations

595 Pawtucket Blvd
Ste 2
Lowell, MA 01854
Phone (978) 459-8447

Interoperability endpoints

  • Direct secure messaging: spoirier56317@tuftsmedicine.direct-ci.com

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 1

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": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1285133470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 PAWTUCKET BLVD",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542042",
            "telephone_number": "978-453-8261",
            "fax_number": "978-453-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 PAWTUCKET BLVD",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542042",
            "telephone_number": "978-453-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POIRIER",
        "first_name": "SARIM",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "MA",
            "license": "RN260349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.