Individual provider Active NPI

Alyssa Simmarano

  • Psychiatric/Mental Health Nurse Practitioner
  • Leominster, MA
National Provider Identifier
1417635111
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN263644 Issued in MA
Practice address
313 6TH St
Leominster, MA 01453-4341
Phone
(508) 639-8818
Fax
(508) 603-9310
NPI assigned
Jul 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN263644 MA Primary
Medical-Surgical Registered Nurse 163WM0705X 263644 MA

Addresses

Primary practice location

313 6TH St
Leominster, MA 01453-4341

Mailing address

313 6TH St
Leominster, MA 01453-4341
Phone (508) 639-8818

Other practice location 1

108 Grove St Ste 307-310
Worcester, MA 01605-2651
Phone (774) 315-1803

Other practice location 2

435 Shrewsbury St
Worcester, MA 01604-1689
Phone (508) 509-1951

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
I20240515003477 MA Practitioner - Nurse Practitioner 2567803984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

108 Grove St
Suite 307 310
Worcester, MA 01605-2651
Phone (508) 206-8757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
263644MAMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Care Integrative Psychiatry, PLLC Psychiatric/Mental Health CurrentSince May 25, 2026 Accepting new patients
Northeast Health Services, LLC CurrentSince Oct 1, 2024 Accepting new patients
Supportive Behavioral Care of Ma LLC CurrentSince Apr 15, 2024 Accepting new patients

Locations

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

108 Grove St
Ste 307310
Worcester, MA 01605
Phone (508) 206-8757

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1417635111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 6TH ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014534341",
            "telephone_number": "508-639-8818",
            "fax_number": "508-603-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 6TH ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014534341",
            "telephone_number": "508-639-8818",
            "fax_number": "508-603-9310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Grove St Ste 307-310",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052651",
            "country_code": "US",
            "telephone_number": "774-315-1803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 Shrewsbury St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016041689",
            "country_code": "US",
            "telephone_number": "508-509-1951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMARANO",
        "first_name": "ALYSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN263644",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MA",
            "license": "263644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.