Individual provider Active NPI

Carol Leprohon, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1528357084
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2328654 Issued in MA
Practice address
94 Main St
Hyannis, MA 02601-3146
Phone
(508) 771-9599
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R058308 ME
Registered Nurse 163W00000X RN2328654 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2328654 MA Primary

Addresses

Primary practice location

94 Main St
Hyannis, MA 02601-3146

Mailing address

94 Main St
Hyannis, MA 02601-3146
Phone (508) 771-9599

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
I20190207001283 MA Practitioner - Nurse Practitioner 9931447414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duffy Health Center, IncGroup PAC ID 1951211598, 18 clinicians

Practice addresses (Care Compare)

94 Main St
Hyannis, MA 02601-3146
Phone (508) 771-9599

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R058308MEMDRegistered Nurse
RN2328654MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duffy Health Center, Inc CurrentSince Dec 23, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cleprohon19906@direct.ctc.masshiway.net

Organizations & group practices 1

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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1528357084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013146",
            "telephone_number": "508-771-9599",
            "fax_number": "508-771-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013146",
            "telephone_number": "508-771-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPROHON",
        "first_name": "CAROL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "R058308",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2328654",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2328654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.