Individual provider Active NPI

Maria Constance Reis, N.P.

  • Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1497711428
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
161539 Issued in MA
Practice address
851 Middle St
Suite 3400
Fall River, MA 02721-1778
Phone
(508) 235-5400
Fax
(508) 235-5477
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 161539 MA Primary

Addresses

Primary practice location

851 Middle St
Suite 3400
Fall River, MA 02721-1778

Mailing address

851 Middle St
Suite 3400
Fall River, MA 02721-1778
Phone (508) 235-5400

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
I20050623000426 MA Practitioner - Nurse Practitioner 8325083967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

277 Pleasant St
Fall River, MA 02721-3005

289 Pleasant St
Fall River, MA 02721-3005

67 Slade'S Ferry Boulevard
Somerset, MA 02726-1220
Phone (508) 676-3292

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161539MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Jun 25, 2016 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Prima Care, PC CurrentSince Jun 25, 2016 Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

901 S Main St
Fall River, MA 02724
Phone (508) 673-4329

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

851 Middle St
Ste 3400
Fall River, MA 02721
Phone (508) 235-5400

289 Pleasant St
Ste 401
Fall River, MA 02721
Phone (508) 679-2505

851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Interoperability endpoints

  • Direct secure messaging: maria.reis@prima.eclinicaldirectplus.com

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1497711428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 MIDDLE ST",
            "address_2": "SUITE 3400",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211778",
            "telephone_number": "508-235-5400",
            "fax_number": "508-235-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 MIDDLE ST",
            "address_2": "SUITE 3400",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211778",
            "telephone_number": "508-235-5400",
            "fax_number": "508-235-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "MARIA",
        "middle_name": "CONSTANCE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "161539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.