Individual provider Active NPI

Sandrina Rodrigues, NP

  • Nurse Practitioner
  • Leominster, MA
National Provider Identifier
1508055427
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
263758 Issued in MA
Practice address
50 Memorial Drive
Suite 214
Leominster, MA 01453
Phone
(978) 534-6863
Fax
(978) 534-3417
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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 263758 MA Primary

Addresses

Primary practice location

50 Memorial Drive
Suite 214
Leominster, MA 01453

Mailing address

50 Memorial Drive
Suite 111
Leominster, MA 01453
Phone (978) 466-2148

Other identifiers 1

IdentifierTypeStateIssuer
110076979AOtherMAMASSHEALTH

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
I20071121000420 MA Practitioner - Nurse Practitioner 2567550718 Reassigns benefits to 3 organizations
Practice locations: Leominster, MA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heywood Medical Group Inc.Group PAC ID 6901882836, 111 clinicians

Practice addresses (Care Compare)

250 Green St
Gardner, MA 01440-1396
Phone (978) 630-6460

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heywood Affiliated Medical Group Inc. CurrentSince Dec 1, 2022 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Dec 1, 2022 Accepting new patients
Heywood Medical Group Inc. Nurse Practitioner CurrentSince Dec 1, 2022 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Dec 1, 2022 Accepting new patients
Athol Memorial Hospital Incorporated Nurse Practitioner CurrentSince Dec 1, 2022 Accepting new patients
Henry Heywood Memorial Hospital Nurse Practitioner Current Accepting new patients
Umass Memorial Medical Group Inc Nurse Practitioner Past Accepting new patients
Accountable Care Clinical Services PC PastSince Sep 1, 2012 Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

242 Green St
Ste 205
Gardner, MA 01440

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

Organizations & group practices 8

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": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1508055427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL DRIVE",
            "address_2": "SUITE 111",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-466-2148",
            "fax_number": "978-466-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL DRIVE",
            "address_2": "SUITE 214",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-534-6863",
            "fax_number": "978-534-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "SANDRINA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "263758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH",
            "identifier": "110076979A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.