Individual provider Active NPI

Adriana Medeiros, FNP-BC

  • Family Nurse Practitioner
  • Dartmouth, MA
National Provider Identifier
1346760394
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2285131 Issued in MA
Practice address
535 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone
(508) 996-3991
NPI assigned
Jun 21, 2017
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2285131 MA Primary

Addresses

Primary practice location

535 Faunce Corner Rd
Dartmouth, MA 02747-1242

Mailing address

800 Huntington Ave
Boston, MA 02115-6303
Phone (857) 307-2277

Other practice location 1

800 Huntington Ave
Boston, MA 02115-6303
Phone (857) 307-2200

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
I20171101000038 MA Practitioner - Nurse Practitioner 2466728704 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians
Brigham and Womens Hospital IncGroup PAC ID 4385554732, 52 clinicians

Practice addresses (Care Compare)

531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

800 Huntington Ave
Boston, MA 02115-6303
Phone (617) 525-9544

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2285131MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince May 23, 2022 Accepting new patients
Brigham and Women's Hospital Current Accepting new patients
Lifespan Physician Group of Massachusetts Inc CurrentSince Jan 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 21, 2023 Accepting new patients
Lifespan Corporation Current Accepting new patients
Brigham & Womens Hospital, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 21, 2023 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
Steward Medical Group, Inc Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

800 Huntington Ave
Boston, MA 02115
Phone (617) 525-9544

1010 S Main St
Fall River, MA 02724
Phone (508) 235-5010

851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0606

399 Revolution Dr
Somerville, MA 02145
Phone (800) 856-1983

Interoperability endpoints

  • Direct secure messaging: adriana.medeiros.1@2017.direct.athenahealth.com
  • Direct secure messaging: amedeiros236041@brownhealth.medalliesdirect.net
  • Direct secure messaging: medeiros.adrianna.bwh@direct.partners.masshiway.net

Organizations & group practices 9

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 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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1346760394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HUNTINGTON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156303",
            "telephone_number": "857-307-2277",
            "fax_number": "857-307-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FAUNCE CORNER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-996-3991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Huntington Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156303",
            "country_code": "US",
            "telephone_number": "857-307-2200",
            "fax_number": "857-307-2277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "ADRIANA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2285131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.