Individual provider Active NPI

Theresa Patenaude

  • Adult Health Nurse Practitioner
  • East Falmouth, MA
National Provider Identifier
1366723041
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
218336 Issued in MA
Practice address
31 Pontes Ave
East Falmouth, MA 02536-5357
Phone
(508) 344-4750
NPI assigned
Sep 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 218336 MA Primary

Addresses

Primary practice location

31 Pontes Ave
East Falmouth, MA 02536-5357

Mailing address

31 Pontes Ave
East Falmouth, MA 02536-5357
Phone (508) 344-4750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120403000004 MA Practitioner - Nurse Practitioner 0446410237 Reassigns benefits to 2 organizations
I20210113000267 NH Practitioner - Nurse Practitioner 0446410237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Healthcare LLCGroup PAC ID 8224361191, 72 clinicians

Practice addresses (Care Compare)

100 Wyman Rd
Keene, NH 03431-5029
Phone (603) 283-5150

183 Old Dublin Rd
Peterborough, NH 03458-1334
Phone (606) 924-6238

22 Tuck Rd
Hampton, NH 03842-1225
Phone (781) 867-2050

43 Ledgewood Dr
Milford, NH 03055-6736
Phone (603) 601-4377

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218336MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England, P.C. Adult Health CurrentSince Dec 11, 2013 Accepting new patients
Alignmed Partners, PC CurrentSince Nov 17, 2020 Accepting new patients
Ipc Hospitalists of New England PC CurrentSince Dec 11, 2013 Accepting new patients
Vantage Healthcare LLC CurrentSince Dec 2, 2020 Accepting new patients
Genesis Elder Care Physician Services LLC Past Accepting new patients

Locations

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

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

640 Concord Ave
Cambridge, MA 02138
Phone (617) 497-0600

321 Centre St
Dorchester, MA 02122
Phone (617) 825-6320

44 Keystone Dr
Leominster, MA 01453
Phone (978) 537-9327

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

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

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

22 Tuck Rd
Hampton, NH 03842
Phone (603) 926-4551

298 Main St
Keene, NH 03431
Phone (310) 270-6181

191 Hackett Hill Rd
Manchester, NH 03102
Phone (603) 600-3255

22 Hunt St
Nashua, NH 03060
Phone (603) 889-5450

Organizations & group practices 5

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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1366723041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PONTES AVE",
            "city": "EAST FALMOUTH",
            "state": "MA",
            "postal_code": "025365357",
            "telephone_number": "508-344-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PONTES AVE",
            "city": "EAST FALMOUTH",
            "state": "MA",
            "postal_code": "025365357",
            "telephone_number": "508-344-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATENAUDE",
        "first_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "218336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Falmouth, MA

Sources for this page

Verify at the official NPI Registry.