Individual provider Active NPI

Elena Amelia Cetola, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerset, MA
National Provider Identifier
1467977843
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2297401 Issued in MA
Practice address
1188 County St
Somerset, MA 02726-5140
Phone
(508) 281-1064
Fax
(508) 281-4013
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2297401 MA Primary

Addresses

Primary practice location

1188 County St
Somerset, MA 02726-5140

Mailing address

1188 County St
Somerset, MA 02726-5140
Phone (508) 281-1064

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
I20180115000139 MA Practitioner - Nurse Practitioner 1951660208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Hope Wellness IncorporatedGroup PAC ID 4183967474, 7 clinicians

Practice addresses (Care Compare)

1188 County St
Somerset, MA 02726-5140
Phone (508) 281-1064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2297401MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Hope Wellness Incorporated Psychiatric/Mental Health CurrentSince Apr 22, 2019 Accepting new patients

Locations

38 Rock St
Ste 2
Fall River, MA 02720
Phone (508) 281-1064

1188 County St
Somerset, MA 02726
Phone (508) 281-1064

Organizations & group practices 1

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1467977843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 COUNTY ST",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027265140",
            "telephone_number": "508-281-1064",
            "fax_number": "508-281-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 COUNTY ST",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027265140",
            "telephone_number": "508-281-1064",
            "fax_number": "508-281-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CETOLA",
        "first_name": "ELENA",
        "middle_name": "AMELIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2297401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, MA

Sources for this page

Verify at the official NPI Registry.