Individual provider Active NPI

Paula Fortuna, NP

  • Nurse Practitioner
  • South Hampton, NH
National Provider Identifier
1316381122
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN159433 Issued in MA
Practice address
32 Highland Rd
South Hampton, NH 03827-3607
Phone
(603) 394-7052
NPI assigned
Apr 23, 2013
Last updated
Apr 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 159433 MA
Nurse Practitioner 363L00000X RN159433 MA Primary
Registered Nurse 163W00000X 159433 MA

Addresses

Primary practice location

32 Highland Rd
South Hampton, NH 03827-3607

Mailing address

32 Highland Rd
South Hampton, NH 03827-3607
Phone (603) 394-7052

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
I20160519000502 MA Practitioner - Nurse Practitioner 1759670417 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BRN CorporationGroup PAC ID 9234218389, 2 clinicians

Practice addresses (Care Compare)

145 Ward Hill Ave
Bradford, MA 01835-6928
Phone (978) 372-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159433MAMDRegistered Nurse
RN159433MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BRN Corporation CurrentSince Jun 11, 2018 Accepting new patients
Heartsafe. LLC CurrentSince Sep 25, 2017 Accepting new patients
BRN Corporation CurrentSince Jun 11, 2018 Accepting new patients
Seacoast Affiliated Group Practice, Inc. CurrentSince Mar 8, 2016 Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients
Mustali M Dohadwala MD LLC PastSince Jan 8, 2018 Accepting new patients

Locations

24 Morrill Pl
Ste 2
Amesbury, MA 01913
Phone (978) 462-9628

145 Ward Hill Ave
Haverhill, MA 01835
Phone (978) 254-4983

21 Highland Ave
Ste 5
Newburyport, MA 01950
Phone (978) 255-4217

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

30 High St
North Andover, MA 01845
Phone (978) 688-2206

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1316381122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HIGHLAND RD",
            "city": "SOUTH HAMPTON",
            "state": "NH",
            "postal_code": "038273607",
            "telephone_number": "603-394-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HIGHLAND RD",
            "city": "SOUTH HAMPTON",
            "state": "NH",
            "postal_code": "038273607",
            "telephone_number": "603-394-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNA",
        "first_name": "PAULA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "159433",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN159433",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "159433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hampton, NH

Sources for this page

Verify at the official NPI Registry.