Individual provider Active NPI

Nelson Pereira Azevedo Jr., APRN

  • Family Nurse Practitioner
  • Malden, MA
National Provider Identifier
1427882018
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN2321963 Issued in MA
Practice address
219 Centre St
Malden, MA 02148-5524
Phone
(781) 322-7300
NPI assigned
Aug 27, 2024
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 APRN2321963 MA Primary

Addresses

Primary practice location

219 Centre St
Malden, MA 02148-5524

Mailing address

219 Centre St
Malden, MA 02148-5524

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
I20241003001767 MA Practitioner - Nurse Practitioner 1456882216 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
Group practices
Urgent Help Chelmsford PCGroup PAC ID 4284917170, 15 clinicians

Practice addresses (Care Compare)

219 Centre St
Malden, MA 02148-5524
Phone (781) 322-7300

45 Drum Hill Rd
Chelmsford, MA 01824-1503
Phone (978) 446-7515

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN2321963MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Help Chelmsford PC CurrentSince Oct 1, 2025 Accepting new patients
Urgent Help Chelmsford PC CurrentSince Oct 1, 2025 Accepting new patients
Urgent Help Chelmsford PC Current Accepting new patients
Afc Physicians of Massachusetts CurrentSince Sep 6, 2024 Accepting new patients
Afc Physicians of Massachusetts, PC CurrentSince Sep 6, 2024 Accepting new patients

Locations

485 Granite St
Braintree, MA 02184
Phone (781) 356-8477

45 Drum Hill Rd
Chelmsford, MA 01824
Phone (978) 446-7515

219 Centre St
Malden, MA 02148
Phone (781) 322-7300

415 Cooley St
Unit 3
Springfield, MA 01128
Phone (413) 782-4878

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1427882018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 CENTRE ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 CENTRE ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485524",
            "telephone_number": "781-322-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZEVEDO",
        "first_name": "NELSON",
        "middle_name": "PEREIRA",
        "name_suffix": "Jr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "APRN2321963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

Verify at the official NPI Registry.