Active NPI
Elizabeth Gruber, RN, MSN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Cohasset, MA
National Provider Identifier
1487041844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN198037
- Practice address
- 759 CJC Hwy # 226
Cohasset, MA 02025-2115 - Phone
- (781) 307-0505
- NPI assigned
- Apr 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN198037 | MA | Primary |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN198037 | MA |
Addresses
Primary practice location
759 CJC Hwy # 226
Cohasset, MA 02025-2115
Mailing address
759 CJC Hwy # 226
Cohasset, MA 02025-2115
Phone (781) 307-0505
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170112001054 | MA | Practitioner - Nurse Practitioner | 5395027080 | Practice locations: South Weymouth, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
759 Chief Justice Cushing Hwy
Cohasset, MA 02025-2115
851 Main St
Suite 16
South Weymouth, MA 02190-1613
Phone (781) 812-2701
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN198037 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1487041844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "759 CJC HWY # 226",
"city": "COHASSET",
"state": "MA",
"postal_code": "020252115",
"telephone_number": "781-307-0505",
"fax_number": "781-383-2317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 CJC HWY # 226",
"city": "COHASSET",
"state": "MA",
"postal_code": "020252115",
"telephone_number": "781-307-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBER",
"first_name": "ELIZABETH",
"credential": "RN, MSN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-22",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN198037",
"primary": true
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "MA",
"license": "RN198037",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cohasset, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.