Individual provider Active NPI

Annette Okereke, NP

  • Family Nurse Practitioner
  • Boston, MA
National Provider Identifier
1346478120
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN217718 Issued in MA
Practice address
850 Harrison Ave
Suite 400
Boston, MA 02118-4001
Phone
(617) 638-7062
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN217718 MA
Family Nurse Practitioner 363LF0000X RN217718 MA Primary

Addresses

Primary practice location

850 Harrison Ave
Suite 400
Boston, MA 02118-4001

Mailing address

850 Harrison Ave
Boston, MA 02118
Phone (617) 638-7043

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
I20100105000475 MA Practitioner - Nurse Practitioner 5193866739 Reassigns benefits to 3 organizations
Practice locations: Lynn, MA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

330 Lynnway
Suite 112
Lynn, MA 01901-1706
Phone (781) 842-0613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN217718MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England PC CurrentSince May 18, 2015 Accepting new patients
Ipc Hospitalists of New England, P.C. Family CurrentSince May 18, 2015 Accepting new patients
Ipc Hospitalists of New England, P.C. Family Current Accepting new patients
Chinne Health Systems LLC CurrentSince Nov 27, 2019 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
Adonai Alliance Home Healthcare Agency Inc Current Accepting new patients
VK New England Management LLC PastSince Sep 7, 2019 Accepting new patients

Locations

89 Morton St
Andover, MA 01810
Phone (978) 475-0944

265 Essex St
Beverly, MA 01915
Phone (978) 927-3260

785 Main St
Concord, MA 01742
Phone (978) 369-6889

147 E Merrimack St
Lowell, MA 01852
Phone (781) 593-3900

330 Lynnway
Ste 112
Lynn, MA 01901
Phone (781) 593-3900

102 Main St
Malden, MA 02148
Phone (781) 324-5600

1200 Brush Hill Rd
Milton, MA 02186
Phone (617) 333-0600

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 State Highway 6A
Sandwich, MA 02563
Phone (508) 888-8222

309 Driftway
Scituate, MA 02066
Phone (781) 545-1370

804 E 7th St
South Boston, MA 02127
Phone (617) 268-8968

25 Woodland Rd
Stoneham, MA 02180
Phone (781) 438-7775

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1346478120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HARRISON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-638-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HARRISON AVE",
            "address_2": "SUITE 400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184001",
            "telephone_number": "617-638-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEREKE",
        "first_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN217718",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN217718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.