Active NPI
Nicole Gerniglia, RN MSN AGNP-C
- Nurse Practitioner
- Saugus, MA
National Provider Identifier
1295290799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2259883
- Practice address
- 490 Central St
Saugus, MA 01906-3746 - Phone
- (781) 308-5348
- NPI assigned
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- No
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
MA
-
- Durable Medical Equipment & Medical Supplies
- Boston, MA
- NPI 1306186523
-
- Durable Medical Equipment & Medical Supplies
- Waltham, MA
- NPI 1326766205
-
- Durable Medical Equipment & Medical Supplies
- Waltham, MA
- NPI 1942691803
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Massachusetts General Physicians Organization Inc
Practice addresses (Care Compare)
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
- Massachusetts General Hospital
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190726001582 | MA | Practitioner - Nurse Practitioner | 5496081564 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2259883 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
Interoperability endpoints
- gerniglia.nicole.mgh@direct.partners.masshiway.net
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN2259883 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
490 Central St
Saugus, MA 01906-3746
Mailing address
490 Central St
Saugus, MA 01906-3746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2019.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1295290799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 CENTRAL ST",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019063746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 CENTRAL ST",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019063746",
"telephone_number": "781-308-5348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERNIGLIA",
"first_name": "NICOLE",
"credential": "RN MSN AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-08",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2259883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saugus, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.