Active NPI
Deborah Frances Waite, NP
- Adult Health Nurse Practitioner
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN236874
- Practice address
- 3350 Main St
Springfield, MA 01107-1112 - Phone
- (413) 794-9338
- Fax
- (413) 794-9754
- NPI assigned
- Jul 20, 2011
- Sex
- Female
- Sole proprietor
- No
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
Care Compare affiliation Hospital -
- Clinical Medical Laboratory
- Springfield, MA
- NPI 1568488450
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Westfield, MA
- NPI 1700816048
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Palmer, MA
- NPI 1962410233
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baystate Medical Practices Inc
Practice addresses (Care Compare)
280 Chestnut St
Suite 2
Springfield, MA 01199-1001
3300 Main St
Springfield, MA 01107-1112
Phone (413) 794-7330
3350 Main St
Springfield, MA 01107-1112
Phone (413) 794-9338
3400 Main St
Springfield, MA 01107-1113
Phone (413) 794-8777
759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-5439
Hospital & facility affiliations
- Baystate Medical Center
- Baystate Noble Hospital
- Baystate Wing Hospital
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110922000775 | MA | Practitioner - Nurse Practitioner | 9234300203 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN236874 | MA | MD | Adult Health Nurse Practitioner |
| 236874 | MA | MD | Family Nurse Practitioner |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN236874 | MA | Primary |
| Family Nurse Practitioner | 363LF0000X | 236874 | MA |
Addresses
NPPES NPI RegistryPrimary practice location
3350 Main St
Springfield, MA 01107-1112
Mailing address
280 Chestnut St
2ND Floor
Springfield, MA 01199-1001
Phone (413) 794-5700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 10, 2016.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1487942785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT ST",
"address_2": "2ND FLOOR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991001",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071112",
"telephone_number": "413-794-9338",
"fax_number": "413-794-9754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITE",
"first_name": "DEBORAH",
"middle_name": "FRANCES",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "RN236874",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "236874",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.