Individual provider Active NPI

Melissa Dipiro, CNP

  • Pediatric Nurse Practitioner
  • Boston, MA
National Provider Identifier
1306213772
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN263947 Issued in MA
Practice address
51 Blossom St
Boston, MA 02114
Phone
(617) 722-3000
NPI assigned
Sep 1, 2015
Last updated
Jul 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN263947 MA Primary

Addresses

Primary practice location

51 Blossom St
Boston, MA 02114

Mailing address

51 Blossom St
Boston, MA 02114-2601

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
I20200724001444 MA Practitioner - Nurse Practitioner 6204252984 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN263947MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Shriners' Hospital for Children Current Accepting new patients
The Shriners' Hospital for Children CurrentSince Mar 25, 2020 Accepting new patients
The Shriners' Hospital for Children CurrentSince Mar 25, 2020 Accepting new patients
The Shriners' Hospital for Children Past Accepting new patients

Locations

51 Blossom St
Boston, MA 02114
Phone (617) 722-3000

516 Carew St
Springfield, MA 01104
Phone (413) 787-2000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1306213772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 BLOSSOM ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 BLOSSOM ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-722-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPIRO",
        "first_name": "MELISSA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN263947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.