Individual provider Active NPI

Erin Patisteas, CPNP, NP-C

  • Family Nurse Practitioner
  • Concord, MA
National Provider Identifier
1528331006
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN273883 Issued in MA
Practice address
54 Baker Avenue Ext Ste 200
Concord, MA 01742-2137
Phone
(978) 369-5391
Fax
(978) 369-7661
NPI assigned
Feb 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN 273883 MA
Family Nurse Practitioner 363LF0000X RN273883 MA Primary

Addresses

Primary practice location

54 Baker Avenue Ext Ste 200
Concord, MA 01742-2137

Mailing address

54 Baker Avenue Ext Ste 200
Concord, MA 01742-2137
Phone (978) 369-5391

Other practice location 1

300 Longwood Ave
Department of Orthopedics Fegan 2
Boston, MA 02115-5724
Phone (617) 355-6021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 273883MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emerson Practice Associates, Inc. Current Accepting new patients
Orthopedic Affiliates Inc Past Accepting new patients

Locations

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

54 Baker Avenue Ext
Ste 200
Concord, MA 01742
Phone (978) 369-5391

830 Constitution Ave
Littleton, MA 01460
Phone (978) 287-8990

133 Littleton Rd
Ste 104
Westford, MA 01886
Phone (978) 369-2665

Interoperability endpoints

  • Direct secure messaging: patisteas.erin.epa@direct.partners.masshiway.net

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": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1528331006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT STE 200",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422137",
            "telephone_number": "978-369-5391",
            "fax_number": "978-369-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT STE 200",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422137",
            "telephone_number": "978-369-5391",
            "fax_number": "978-369-7661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Longwood Ave",
            "address_2": "Department of Orthopedics Fegan 2",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155724",
            "country_code": "US",
            "telephone_number": "617-355-6021",
            "fax_number": "617-738-1336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATISTEAS",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "CPNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN 273883",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN273883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.