Individual provider Active NPI

Stephen Vanderels, NP

  • Family Nurse Practitioner
  • Sudbury, MA
National Provider Identifier
1336507193
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2298874 Issued in MA
Practice address
96 Mossman Rd
Sudbury, MA 01776-1312
Phone
(978) 460-0768
NPI assigned
Feb 8, 2016
Last updated
Oct 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2298874 MA
Family Nurse Practitioner 363LF0000X RN2298874 MA Primary

Addresses

Primary practice location

96 Mossman Rd
Sudbury, MA 01776-1312

Mailing address

96 Mossman Rd
Sudbury, MA 01776-1312

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
I20161122001432 MA Practitioner - Nurse Practitioner 6709165343 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2298874MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England, P.C. Family Current Accepting new patients
New England Post-Acute Medical Group PLLC CurrentSince Jul 1, 2025 Accepting new patients
Ipc Hospitalists of New England PC CurrentSince Dec 17, 2017 Accepting new patients
Ipc Hospitalists of New England, P.C. Family CurrentSince Dec 17, 2017 Accepting new patients

Locations

277 Washington St
Abington, MA 02351
Phone (781) 871-0200

95 Commercial St
Braintree, MA 02184
Phone (781) 848-0596

255 Central Ave
Chelsea, MA 02150
Phone (617) 660-2615

111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200

20 N Maple St
Hadley, MA 01035
Phone (413) 584-5057

10 Veterans Memorial Dr
Milford, MA 01757
Phone (508) 473-6414

67 Union St
Natick, MA 01760
Phone (508) 383-1104

204 Proctor Ave
Revere, MA 02151
Phone (781) 286-3100

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

37 Route 6A
Sandwich, MA 02563
Phone (508) 888-8222

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1336507193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 MOSSMAN RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 MOSSMAN RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761312",
            "telephone_number": "978-460-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERELS",
        "first_name": "STEPHEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2298874",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2298874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

Verify at the official NPI Registry.