Individual provider Active NPI

Erica Lee Teles

  • Nurse Practitioner
  • East Longmeadow, MA
National Provider Identifier
1508349853
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN277436 Issued in MA
Practice address
15 Benton Dr Ste 10
East Longmeadow, MA 01028-3232
Phone
(413) 200-0769
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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 RN277436 MA Primary

Addresses

Primary practice location

15 Benton Dr Ste 10
East Longmeadow, MA 01028-3232

Mailing address

15 Benton Dr Ste 10
East Longmeadow, MA 01028-3232
Phone (413) 200-0769

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
I20181204003168 MA Practitioner - Nurse Practitioner 3870837719 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry and Primary CareGroup PAC ID 2264873991, 2 clinicians

Practice addresses (Care Compare)

15 Benton Dr
Suite 10
East Longmeadow, MA 01028-3232
Phone (412) 200-0769

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Valley Cardiology Associates, Inc CurrentSince Nov 9, 2018 Accepting new patients
Boston'S Community Medical Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Commonwealth Clinical Alliance, Inc CurrentSince Feb 1, 2026 Accepting new patients
Pioneer Valley Cardiology Associates ,Inc. CurrentSince Nov 9, 2018 Accepting new patients
Psychiatry and Primary Care CurrentSince May 16, 2024 Accepting new patients

Locations

444 Montgomery St
Chicopee, MA 01020
Phone (413) 594-3111

15 Benton Dr
Ste 10
East Longmeadow, MA 01028
Phone (412) 200-0769

30 Northampton St
Roxbury, MA 02118
Phone (617) 433-9601

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

2 Medical Center Dr
Ste 410
Springfield, MA 01107
Phone (413) 781-5735

3550 Main St
Ste 101
Springfield, MA 01107
Phone (413) 739-0669

300 Stafford St
Ste 154
Springfield, MA 01104
Phone (413) 748-7095

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1508349853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BENTON DR STE 10",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283232",
            "telephone_number": "413-200-0769",
            "fax_number": "877-421-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BENTON DR STE 10",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283232",
            "telephone_number": "413-200-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELES",
        "first_name": "ERICA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN277436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.