Nephtalie Gracieuse Renelique, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN274143 Issued in MA

Practice address

1261 Furnace Brook Pkwy Ste 31
Quincy, MA 02169-4787

Phone

(617) 479-4545

NPI assigned

Jun 14, 2019

Last updated

Sep 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nova Psychiatric Services, P.CGroup PAC ID 4183524887, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nova Psychiatric Services, PC

  dba Prime Behavioral Health

  • Community/Behavioral Health Agency
  • Quincy, MA
  • NPI 1881782522
  Medicare reassignment Care Compare group NPD
• Good Path Health Services Inc

  • Adult Mental Health Clinic/Center
  • Norwood, MA
  • NPI 1194324533
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MA

  Medicare reassignment NPD
• Primemed Healthcare Services, PLLC

  • Home Health Agency
  • Brockton, MA
  • NPI 1689538274
  NPD Authorized official
• Nova Psychiatric Service

  • Psychologist
  • Quincy, MA
  • NPI 1598838781
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1548820319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 FURNACE BROOK PKWY STE 31",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694787",
            "telephone_number": "617-548-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 FURNACE BROOK PKWY STE 31",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694787",
            "telephone_number": "617-479-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "637 Washington St",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "021243510",
            "country_code": "US",
            "telephone_number": "617-825-9660",
            "fax_number": "617-288-7898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENELIQUE",
        "first_name": "NEPHTALIE",
        "middle_name": "GRACIEUSE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN274143",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN274143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Reisner, DO
• Annalisa Passalacqua Rekowski
• Roberta M Rello, B.A.
• Xinping Ren, M.D.
• Carol Renaud, LICSW
• Resilient Care Therapy LLC
• Resilient Life Fitness LLC
• Reunited
• Revive Acupuncture & Oriental Medicine
• Cassandra Reyes, MSW

• Family Nurse Practitioner in Quincy, MA
• Providers in Quincy, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.