Individual provider Active NPI

Nicole Marie Fanara, APRN

  • Family Nurse Practitioner
  • Falmouth, MA
National Provider Identifier
1548943244
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03220622 Issued in MA
Practice address
100 Ter Heun Dr
Falmouth, MA 02540-2599
Phone
(508) 548-5300
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03220622 MA Primary

Addresses

Primary practice location

100 Ter Heun Dr
Falmouth, MA 02540-2599

Mailing address

5 Veronica LN
Middleboro, MA 02346-2551
Phone (781) 724-4043

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
I20241127002166 MA Practitioner - Nurse Practitioner 6406381466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians of Falmouth HospitalGroup PAC ID 6800051970, 92 clinicians

Practice addresses (Care Compare)

100 Ter Heun Dr
Falmouth, MA 02540-2503
Phone (508) 771-1800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F03220622MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Aug 22, 2024 Accepting new patients
Physicians of Falmouth Hospital CurrentSince Aug 22, 2024 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Aug 22, 2024 Accepting new patients

Locations

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

21 Bramble Bush Dr
Falmouth, MA 02540
Phone (508) 495-5160

5 Bramble Bush Dr
Falmouth, MA 02540
Phone (508) 495-8300

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1548943244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 VERONICA LN",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023462551",
            "telephone_number": "781-724-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TER HEUN DR",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402599",
            "telephone_number": "508-548-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANARA",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "F03220622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

Verify at the official NPI Registry.