Individual provider Active NPI

Alexandra Renee Plaisance, FNP-C

  • Family Nurse Practitioner
  • North Quincy, MA
National Provider Identifier
1396501490
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2346391 Issued in MA
Practice address
110 W Squantum St Ste 8
North Quincy, MA 02171-2158
Phone
(717) 371-7170
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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 RN2346391 MA Primary

Addresses

Primary practice location

110 W Squantum St Ste 8
North Quincy, MA 02171-2158

Mailing address

110 W Squantum St Ste 8
North Quincy, MA 02171-2158
Phone (717) 371-7170

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
I20260204002397 MA Practitioner - Nurse Practitioner 5193204709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manet Community Health Center, Inc.Group PAC ID 4486555158, 52 clinicians

Practice addresses (Care Compare)

1193 Sea St
Quincy, MA 02169-3544
Phone (617) 471-8683

Hospital & facility affiliations

  • Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2346391MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manet Community Health Center, Inc. CurrentSince Nov 30, 2025 Accepting new patients
Manet Community Health Center, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Manet Community Health Center, Inc. CurrentSince Nov 1, 2025 Accepting new patients

Locations

180 George Washington Blvd
Hull, MA 02045
Phone (781) 925-4550

110 W Squantum St
Ste 8
Quincy, MA 02171
Phone (617) 376-3000

1193 Sea St
Quincy, MA 02169
Phone (617) 471-8683

110 W Squantum St
Quincy, MA 02171
Phone (617) 376-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4368/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alexandra.plaisance.np.1@4368.direct.athenahealth.com

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 1

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1396501490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W SQUANTUM ST STE 8",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712158",
            "telephone_number": "717-371-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W SQUANTUM ST STE 8",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712158",
            "telephone_number": "717-371-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAISANCE",
        "first_name": "ALEXANDRA",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2346391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Quincy, MA

Sources for this page

Verify at the official NPI Registry.