Individual provider Active NPI

Tess Alexandra Brickley, CNM, WHNP

  • Midwife
  • Beverly, MA
National Provider Identifier
1407584337
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
RN2361141 Issued in MA
Practice address
85 Herrick St
Beverly, MA 01915-1790
Phone
(978) 922-3000
NPI assigned
Aug 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X
Midwife 176B00000X RN2361141 MA Primary

Addresses

Primary practice location

85 Herrick St
Beverly, MA 01915-1790

Mailing address

425 Route 6a
East Sandwich, MA 02537-1470
Phone (774) 313-6258

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230118002587 MA Practitioner - Certified Nurse Midwife (CNM) 8628449246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essex County OBGYN Assoc IncGroup PAC ID 6204829062, 26 clinicians

Practice addresses (Care Compare)

83 Herrick St
Suite 2004
Beverly, MA 01915-2757
Phone (978) 927-4800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Jan 7, 2023 Accepting new patients
Essex County OBGYN Assoc Inc CurrentSince Nov 1, 2022 Accepting new patients
Northeast Hospital Corporation Past Accepting new patients

Locations

83 Herrick St
Ste 2004
Beverly, MA 01915
Phone (978) 927-4800

85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700

83 Herrick St
Ste 3002
Beverly, MA 01915
Phone (978) 750-8300

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

140 Commonwealth Ave
Ste 208
Danvers, MA 01923
Phone (978) 232-5538

298 Washington St
Gloucester, MA 01930
Phone (978) 283-4000

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 2

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1407584337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ROUTE 6A",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "025371470",
            "telephone_number": "774-313-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HERRICK ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151790",
            "telephone_number": "978-922-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKLEY",
        "first_name": "TESS",
        "middle_name": "ALEXANDRA",
        "credential": "CNM, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MA",
            "license": "RN2361141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.