Individual provider Active NPI

Bassey Arikpo Sylvester-Eteng

  • Psychiatric/Mental Health Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1285500827
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2329052 Issued in MA
Practice address
1077 W Boylston St
Worcester, MA 01606-1144
Phone
(774) 479-6361
NPI assigned
Oct 13, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X RN2329052 MA Primary

Addresses

Primary practice location

1077 W Boylston St
Worcester, MA 01606-1144

Mailing address

1077 W Boylston St
Worcester, MA 01606-1144
Phone (774) 479-6361

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
I20260108002009 MA Practitioner - Nurse Practitioner 4082190194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3416 Valley Brook Rd
Nashville, TN 37215-2021

PO Box
Belfast, ME 04915

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2329052MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Collegial Psychiatry and Behavioral Medicine,Inc Single Specialty CurrentSince Oct 21, 2025 Accepting new patients
Lifepoint Behavioral Health Physician Services LLC Single Specialty CurrentSince Dec 3, 2025 Accepting new patients
Lifepoint Behavioral Health Physician Services LLC Single Specialty CurrentSince Dec 3, 2025 Accepting new patients

Locations

45 Lower Westfield Rd
Holyoke, MA 01040
Phone (413) 315-4100

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": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1285500827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 W BOYLSTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016061144",
            "telephone_number": "774-479-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 W BOYLSTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016061144",
            "telephone_number": "774-479-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVESTER-ETENG",
        "first_name": "BASSEY",
        "middle_name": "ARIKPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2329052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.