Individual provider Active NPI

Gurpreet Saini

  • Primary Care Nurse Practitioner
  • Salem, MA
National Provider Identifier
1326582396
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2297089 Issued in MA
Practice address
55 Highland Ave Ste 304
Salem, MA 01970-2100
Phone
(978) 354-4611
Fax
(978) 354-4651
NPI assigned
Dec 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN2297089 MA Primary

Addresses

Primary practice location

55 Highland Ave Ste 304
Salem, MA 01970-2100

Mailing address

55 Highland Ave Ste 304
Salem, MA 01970-2100
Phone (978) 354-4611

Other practice location 1

242 Sutton St
North Andover, MA 01845-1631
Phone (978) 655-1987

Other practice location 2

70 Butler St
Salem, NH 03079-3925
Phone (603) 893-2900

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
I20170817001721 MA Practitioner - Nurse Practitioner 3173895638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charter Health PCGroup PAC ID 1153604079, 26 clinicians

Practice addresses (Care Compare)

55 Highland Ave
Suite 304
Salem, MA 01970-2100
Phone (978) 354-4611

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2297089MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charter LTC LLC CurrentSince Oct 26, 2022 Accepting new patients
Charter Health PC CurrentSince Aug 1, 2020 Accepting new patients

Locations

55 Highland Ave
Ste 304
Salem, MA 01970
Phone (978) 354-4611

Interoperability endpoints

  • Direct secure messaging: saini.gurpreet.ch@direct.partners.masshiway.net

Organizations & group practices 2

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 3

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": "1481414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1326582396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE STE 304",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702100",
            "telephone_number": "978-354-4611",
            "fax_number": "978-354-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE STE 304",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702100",
            "telephone_number": "978-354-4611",
            "fax_number": "978-354-4651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 Sutton St",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018451631",
            "country_code": "US",
            "telephone_number": "978-655-1987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Butler St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030793925",
            "country_code": "US",
            "telephone_number": "603-893-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAINI",
        "first_name": "GURPREET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-11",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2297089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.