Individual provider Active NPI

Elyssa Schneider, FNP-BC, RN

  • Family Nurse Practitioner
  • Woburn, MA
National Provider Identifier
1366164329
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2298947 Issued in MA
Practice address
800 W Cummings Park Ste 1200
Woburn, MA 01801-6587
Phone
(781) 927-7246
NPI assigned
Sep 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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 RN2298947 MA Primary

Addresses

Primary practice location

800 W Cummings Park Ste 1200
Woburn, MA 01801-6587

Mailing address

304 Essex St Unit 5
Salem, MA 01970-3420
Phone (857) 998-1557

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
I20221017002073 MA Practitioner - Nurse Practitioner 0941676977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Pain Management, LLCGroup PAC ID 3971782368, 7 clinicians

Practice addresses (Care Compare)

800 W Cummings Park
Suite 1200
Woburn, MA 01801-6587
Phone (781) 927-7246

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2298947MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Pain Management CurrentSince Oct 11, 2022 Accepting new patients
North Shore Pain Management, LLC CurrentSince Oct 11, 2022 Accepting new patients
North Shore Anesthesia, LLC Past Accepting new patients

Locations

900 Cummings Ctr
Ste 219T
Beverly, MA 01915

900 Cummings Ctr
Ste 221U
Beverly, MA 01915
Phone (351) 400-6272

800 W Cummings Park
Ste 1200
Woburn, MA 01801
Phone (781) 330-0327

Organizations & group practices 3

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 5

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": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1366164329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 ESSEX ST UNIT 5",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703420",
            "telephone_number": "857-998-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CUMMINGS PARK STE 1200",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016587",
            "telephone_number": "781-927-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "ELYSSA",
        "credential": "FNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2298947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.