Joan Arakelian, NP
Individual provider Active NPI Nurse Practitioner · Worcester, MA
NPI 1346498482 · NPPES record last updated Jan 26, 2009
Key facts
- NPI
- 1346498482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 178468 (MA)
- Practice address
- 123 Summer St
Suite 290
Worcester, MA 01608-1216 - Phone
- (508) 368-3130
- Fax
- (508) 368-3133
- NPI assigned
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Reliant Medical Group Inc
Practice addresses (Care Compare)
123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000
Hospital & facility affiliations
- St Vincent Hospital
- Umass Memorial Medical Center/University Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081110000414 | MA | Practitioner - Nurse Practitioner | 5890854533 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178468 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Current |
Accepting new patients |
Locations
630 Plantation St
Fl 12
Worcester, MA 01605
Phone (508) 368-5529
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
630 Plantation St
Worcester, MA 01605
Phone (508) 368-5529
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
123 Summer St
Ste 290N
Worcester, MA 01608
Phone (508) 368-3130
123 Summer St
Ste 290
Worcester, MA 01608
Phone (508) 368-3130
Interoperability endpoints
- joan.arakelian.npi1346498482.reliant@direct.optumcare.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 178468 | MA | Yes |
Addresses
Primary practice location
123 Summer St
Suite 290
Worcester, MA 01608-1216
Mailing address
630 Plantation St
Worcester, MA 01605-2038
Phone (508) 368-3130
Other providers in Worcester, MA
- Benjamin James Apple
- Tomas Appleton Figueira
- Approved Medical Services LLC
- Margaret M Apura
- Vasanthi Arakali
- Marie Arakelian
- Arammu, Inc
- Alejandra Arango
- Laura Maria Arango
- Roger Araujo-Castillo
All providers in Worcester, MA · Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.