Organization Active NPI

Pathway to Better Health PLLC

  • Primary Care Nurse Practitioner
  • Lowell, MA
National Provider Identifier
1376230391
Registry record updated Feb 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PATHWAY TO BETTER HEALTH PLLC
Practice address
97 Central St Ste 303
Lowell, MA 01852-1931
Phone
(978) 487-6783
NPI assigned
Apr 19, 2023
Last updated
Feb 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2024

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

Authorized official

Name
Jessica Wisocky, FNPNPI 1689007924
Title
Manager
Phone
(978) 487-6783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X NU
Family Nurse Practitioner 363LF0000X NU
Primary Care Nurse Practitioner 363LP2300X NU Primary
Ambulatory Care Pharmacist 1835P2201X NU

Addresses

Primary practice location

97 Central St Ste 303
Lowell, MA 01852-1931

Mailing address

97 Central St Ste 303
Lowell, MA 01852-1931

Other practice location 1

85 Mansur St
Lowell, MA 01852-2817
Phone (206) 799-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230710003293 MA Part B Supplier - Clinic/Group Practice 2860851714 Receives reassigned benefits from 1 practitioner
Practice locations: Lowell, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2285555Pathway to Better Health97 Central St, Lowell, MA 01852Certificate of waiverJul 13, 2027

National Provider Directory

National Provider Directory

Locations

97 Central St
Ste 303
Lowell, MA 01852
Phone (978) 309-5445

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708819200000",
    "number": "1376230391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 CENTRAL ST STE 303",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 CENTRAL ST STE 303",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521931",
            "telephone_number": "978-487-6783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Mansur St",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018522817",
            "country_code": "US",
            "telephone_number": "206-799-3444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHWAY TO BETTER HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A",
        "authorized_official_last_name": "WISOCKY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-487-6783",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.