Individual provider Active NPI

Michael Pacheco, NP

  • Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1396274494
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN252918 Issued in MA
Practice address
795 Middle St
Fall River, MA 02721-1733
Phone
(508) 674-5600
NPI assigned
Jun 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN252918 MA Primary

Addresses

Primary practice location

795 Middle St
Fall River, MA 02721-1733

Mailing address

795 Middle St
Fall River, MA 02721-1733
Phone (508) 677-5899

Other practice location 1

310 Maple Ave
Barrington, RI 02806-3430
Phone (401) 903-0300

Other practice location 2

528 Newton St
Fall River, MA 02721-2366
Phone (508) 675-1522

Other practice location 3

2140 Mendon Rd
Cumberland, RI 02864-3843
Phone (401) 642-2072

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
I20180220000987 MA Practitioner - Nurse Practitioner 7618249624 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Feb 1, 2018 Accepting new patients
Prima Care, PC CurrentSince Feb 1, 2018 Accepting new patients
David Carpentier, MD Family Healthcare LTD CurrentSince Jul 19, 2017 Accepting new patients

Locations

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

277 Pleasant St
Fall River, MA 02721
Phone (508) 617-9740

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

495 Atwood Ave
Cranston, RI 02920
Phone (401) 263-4234

Interoperability endpoints

  • Direct secure messaging: mpacheco42423@direct.southcoast.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1396274494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 MIDDLE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211733",
            "telephone_number": "508-677-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 MIDDLE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211733",
            "telephone_number": "508-674-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "RI",
            "postal_code": "028063430",
            "country_code": "US",
            "telephone_number": "401-903-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "528 Newton St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027212366",
            "country_code": "US",
            "telephone_number": "508-675-1522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2140 Mendon Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "RI",
            "postal_code": "028643843",
            "country_code": "US",
            "telephone_number": "401-642-2072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN252918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.