Individual provider Active NPI

Janet Lee Pellegrino, NP

  • Nurse Practitioner
  • North Andover, MA
National Provider Identifier
1558359737
Registry record updated Dec 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
155686 Issued in MA
Practice address
170 Pleasant St
North Andover, MA 01845-2706
Phone
(978) 685-4925
Fax
(978) 682-3637
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 155686 MA Primary

Addresses

Primary practice location

170 Pleasant St
North Andover, MA 01845-2706

Mailing address

170 Pleasant St
North Andover, MA 01845-2706
Phone (978) 685-4925

Other practice location 1

2 1st Ave
Suite 215
Peabody, MA 01960-4909
Phone (978) 740-2300

Other identifiers 1

IdentifierTypeStateIssuer
NP2739OtherMABCBS

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
I20060207000784 MA Practitioner - Nurse Practitioner 2668487042 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
155686MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Primary Care, Inc. CurrentSince Dec 18, 2017 Accepting new patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Dec 18, 2017 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. Past Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

480 Maple St
Danvers, MA 01923
Phone (978) 304-8380

170 Pleasant St
North Andover, MA 01845
Phone (978) 685-4925

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

Interoperability endpoints

  • Direct secure messaging: jpellegrino92592@direct.bilh.masshiway.net
  • FHIR API: https://fhir.laheyhealth.org/proxy-prd-fhir/api/FHIR/R4/
  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1558359737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 PLEASANT ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452706",
            "telephone_number": "978-685-4925",
            "fax_number": "978-682-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PLEASANT ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452706",
            "telephone_number": "978-685-4925",
            "fax_number": "978-682-3637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 1st Ave",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019604909",
            "country_code": "US",
            "telephone_number": "978-740-2300",
            "fax_number": "978-744-3993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "JANET",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "155686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NP2739",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.