Individual provider Active NPI

Nancy Marie Perroni, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hanover, MA
National Provider Identifier
1306025705
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN256692 Issued in MA
Practice address
105 Webster St Ste 8
Hanover, MA 02339-1227
Phone
(781) 754-6545
Fax
(781) 536-0016
NPI assigned
Nov 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 256692 MA
Family Nurse Practitioner 363LF0000X 256692 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN256692 MA Primary

Addresses

Primary practice location

105 Webster St Ste 8
Hanover, MA 02339-1227

Mailing address

105 Webster St Ste 8
Hanover, MA 02339-1227
Phone (781) 754-6545

Other practice location 1

156 Front St
Marion, MA 02738-1501
Phone (508) 748-3736

Other identifiers 2

IdentifierTypeStateIssuer
256692OtherMAFNP LICENSE
0717045MedicaidMA

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
I20080212000263 MA Practitioner - Nurse Practitioner 3870676000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Management LLPGroup PAC ID 7214974708, 18 clinicians

Practice addresses (Care Compare)

105 Webster St
Suite 8
Hanover, MA 02339-1227
Phone (781) 754-6545

Hospital & facility affiliations

  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256692MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Management, LLP CurrentSince Apr 18, 2011 Accepting new patients
Seahorse Behavioral, Inc. Psychiatric/Mental Health CurrentSince Aug 9, 2023 Accepting new patients
Golden Insight Inc Psychiatric/Mental Health CurrentSince Apr 25, 2021 Accepting new patients
Compass Medical PC Past Accepting new patients
Brighton Family Practice, Inc Past Accepting new patients
Preventive Medicine Associates Past Accepting new patients

Locations

105 Webster St
Ste 8
Hanover, MA 02339
Phone (781) 312-7457

Interoperability endpoints

  • Direct secure messaging: nancy.perroni.1@29869.direct.athenahealth.com

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.

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1306025705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WEBSTER ST STE 8",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391227",
            "telephone_number": "781-754-6545",
            "fax_number": "781-536-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WEBSTER ST STE 8",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391227",
            "telephone_number": "781-754-6545",
            "fax_number": "781-536-0016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 Front St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "MA",
            "postal_code": "027381501",
            "country_code": "US",
            "telephone_number": "508-748-3736",
            "fax_number": "508-748-3767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRONI",
        "first_name": "NANCY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "256692",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "256692",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN256692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "256692",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0717045",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

Verify at the official NPI Registry.