Individual provider Active NPI

Barbara Dannielle Phelps, NP-C

  • Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1407348303
Registry record updated Sep 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2297858 Issued in MA
Practice address
26 Queen Street
Worcester, MA 01610-2473
Phone
(508) 860-7800
Fax
(508) 860-7855
NPI assigned
Jun 6, 2018
Last updated
Sep 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2297858 MA Primary
Nurse Practitioner 363L00000X APRN03017 RI

Addresses

Primary practice location

26 Queen Street
Worcester, MA 01610-2473

Mailing address

26 Queen Street
Worcester, MA 01610-2473
Phone (508) 860-7800

Other practice location 1

208 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 973-2432

Other names 1

  • Ms. Barbara Dannielle Fournier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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
I20181011001739 MA Practitioner - Nurse Practitioner 6305198839 Reassigns benefits to 3 organizations
I20230707000185 RI Practitioner - Nurse Practitioner 6305198839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Southcoast Hospitals Group IncGroup PAC ID 1850282310, 15 clinicians
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

101 Page St
New Bedford, MA 02740-3464
Phone (508) 997-1515

208 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 758-3781

26 Queen St
Worcester, MA 01610-2473
Phone (508) 860-7800

672 Aquidneck Ave
Middletown, RI 02842-5795
Phone (401) 847-0519

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2297858MAMDNurse Practitioner
APRN03017RIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Hospitals Group, Inc Current Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince May 1, 2023 Accepting new patients
Southcoast Hospitals Group Inc CurrentSince Jan 1, 2022 Accepting new patients
Family Health Center of Worcester, Inc. CurrentSince Sep 3, 2018 Accepting new patients
Family Health Center of Worcester, Inc. CurrentSince Sep 3, 2018 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Southcoast Hospitals Group, Inc CurrentSince Jan 1, 2022 Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

208 Mill Rd
Fairhaven, MA 02719
Phone (508) 758-3781

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553

26 Queen St
Worcester, MA 01610
Phone (508) 860-7700

672 Aquidneck Ave
Middletown, RI 02842
Phone (401) 847-0519

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

Interoperability endpoints

  • Direct secure messaging: bphelps47770@direct.ctc.masshiway.net
  • Direct secure messaging: bphelps63329@direct.southcoast.org

Organizations & group practices 8

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 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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1407348303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 QUEEN STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102473",
            "telephone_number": "508-860-7800",
            "fax_number": "508-860-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 QUEEN STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102473",
            "telephone_number": "508-860-7800",
            "fax_number": "508-860-7855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Fairhaven",
            "state": "MA",
            "postal_code": "027195208",
            "country_code": "US",
            "telephone_number": "508-973-2432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "BARBARA",
        "middle_name": "DANNIELLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2297858",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN03017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "FOURNIER",
            "middle_name": "DANNIELLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.