Individual provider Active NPI

Ana Antonia Depina

  • Psychiatric/Mental Health Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1285384180
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2317252 Issued in MA
Practice address
71 Legion Park Way #26
Brockton, MA 02301-3716
Phone
(774) 826-6348
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2317252 MA Primary

Addresses

Primary practice location

71 Legion Park Way #26
Brockton, MA 02301-3716

Mailing address

22 Portland St
Brockton, MA 02302-3716
Phone (774) 826-6348

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
I20241111003497 MA Practitioner - Nurse Practitioner 6507390721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HKD Outreach PCGroup PAC ID 0547570806, 12 clinicians

Practice addresses (Care Compare)

1192 Blue Hill Ave
Mattapan, MA 02126-1819
Phone (617) 201-1002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Integrative Health LLC Psychiatric/Mental Health CurrentSince Apr 13, 2025 Accepting new patients
Algo Health LTD CurrentSince Feb 1, 2026 Accepting new patients
HKD Outreach PC CurrentSince Oct 15, 2024 Accepting new patients

Locations

71 Legion Pkwy
Ste 26
Brockton, MA 02301
Phone (508) 409-0489

1192 Blue Hill Ave
Mattapan, MA 02126
Phone (518) 441-6830

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1285384180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PORTLAND ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023716",
            "telephone_number": "774-826-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 LEGION PARK WAY #26",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013716",
            "telephone_number": "774-826-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPINA",
        "first_name": "ANA",
        "middle_name": "ANTONIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2317252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.