Individual provider Active NPI

Mechelle Jean Plasse, RN CS, NP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • East Bridgewater, MA
National Provider Identifier
1528119989
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
176838 Issued in MA
Practice address
36 N Bedford St
Suite #3
East Bridgewater, MA 02333-1186
Phone
(508) 735-9406
Fax
(508) 697-6999
NPI assigned
Jan 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 176838 MA
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 176838 MA Primary

Addresses

Primary practice location

36 N Bedford St
Suite #3
East Bridgewater, MA 02333-1186

Mailing address

36 N Bedford St
Ste 3
East Bridgewater, MA 02333-1186
Phone (507) 735-9406

Other identifiers 3

IdentifierTypeStateIssuer
1854984MedicaidMA
PN0618OtherMABLUE CROSS
176838OtherMATUFTS HEALTH PLAN NUMBER

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
I20050930000243 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 7416982152 Practice locations: East Bridgewater, MA

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

36 N Bedford St
East Bridgewater, MA 02333-1186
Phone (508) 735-9406

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
176838MAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Moon Spot Wellness Center PC Psychiatric/Mental Health Current Accepting new patients
The Commonwealth of Massachusetts Past Accepting new patients

Locations

36 N Bedford St
Ste 3
East Bridgewater, MA 02333
Phone (508) 735-9406

Organizations & group practices 2

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": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1528119989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 N BEDFORD ST",
            "address_2": "STE 3",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331186",
            "telephone_number": "507-735-9406",
            "fax_number": "508-697-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N BEDFORD ST",
            "address_2": "SUITE #3",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331186",
            "telephone_number": "508-735-9406",
            "fax_number": "508-697-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASSE",
        "first_name": "MECHELLE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "RN CS, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "176838",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MA",
            "license": "176838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1854984",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "PN0618",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN NUMBER",
            "identifier": "176838",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.