Individual provider Active NPI

Flavia Nagenda

  • Psychiatric/Mental Health Nurse Practitioner
  • Pocasset, MA
National Provider Identifier
1548059801
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2319256 Issued in MA
Practice address
830 County Rd
Pocasset, MA 02559-2110
Phone
(781) 420-9904
NPI assigned
May 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2319256 MA Primary

Addresses

Primary practice location

830 County Rd
Pocasset, MA 02559-2110

Mailing address

830 County Rd
Pocasset, MA 02559-2110
Phone (781) 420-9904

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
I20260216001870 MA Practitioner - Nurse Practitioner 5496235822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

830 County Rd
Pocasset, MA 02559-2110

830 County Rd
Pocasset, MA 02559-2198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2319256MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Commonwealth of Massachusetts CurrentSince Dec 24, 2025 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Dec 24, 2025 Accepting new patients

Locations

830 County Rd
Pocasset, MA 02559
Phone (508) 564-9600

60 Hodges Ave
Taunton, MA 02780
Phone (508) 977-3134

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": "1746230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765584000000",
    "number": "1548059801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 COUNTY RD",
            "city": "POCASSET",
            "state": "MA",
            "postal_code": "025592110",
            "telephone_number": "781-420-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 COUNTY RD",
            "city": "POCASSET",
            "state": "MA",
            "postal_code": "025592110",
            "telephone_number": "781-420-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGENDA",
        "first_name": "FLAVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-03",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2319256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocasset, MA

Sources for this page

Verify at the official NPI Registry.