NPIMap

Individual provider Active NPI

Tracey Sarro Russo, NP

  • Family Nurse Practitioner
  • Lawrence, MA
National Provider Identifier
1558602391
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN281950 Issued in MA
Practice address
370 Merrimack St
Lawrence, MA 01843-1788
Phone
(978) 557-8800
Fax
(978) 557-8633
NPI assigned
Mar 4, 2013
Last updated
Dec 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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 RN281950 MA Primary

Addresses

Primary practice location

370 Merrimack St
Lawrence, MA 01843-1788

Mailing address

370 Merrimack St
Lawrence, MA 01843-1788
Phone (978) 557-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130604000323 MA Practitioner - Nurse Practitioner 9931347952 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2 Corporation Way
Suite 180
Peabody, MA 01960-7996
Phone (978) 532-6111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Feb 11, 2026 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Aug 21, 2015 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Sep 29, 2025 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Jun 15, 2024 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Jun 15, 2024 Accepting new patients
Lawrence General Hospital CurrentSince Feb 11, 2026 Accepting new patients
Mass General Brigham Community Physicians Inc. CurrentSince Aug 21, 2015 Accepting new patients
Lawrence General Hospital CurrentSince Feb 11, 2026 Accepting new patients
LGH Professional Services LLC Past Accepting new patients
General Primary Care of Lawrence Past Accepting new patients

Locations

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

66 E Main St
Georgetown, MA 01833
Phone (978) 352-7780

1 Parkway
Haverhill, MA 01830
Phone (978) 521-3210

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

360 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

370 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

70 East St
Fl 1
Methuen, MA 01844
Phone (978) 682-2310

71 Needham St
Newton, MA 02461
Phone (617) 712-2770

2 Corporation Way
Ste 180
Peabody, MA 01960
Phone (781) 248-1766

Interoperability endpoints

  • Direct secure messaging: russo.tracey.pma@direct.partners.masshiway.net

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1558602391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 MERRIMACK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431788",
            "telephone_number": "978-557-8800",
            "fax_number": "978-557-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MERRIMACK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431788",
            "telephone_number": "978-557-8800",
            "fax_number": "978-557-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARRO RUSSO",
        "first_name": "TRACEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN281950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.