Individual provider Active NPI

April Jude Suprey

  • Adult Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1568176030
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AG12220047 Issued in MA
Practice address
865 E 4TH St Apt 2
Boston, MA 02127-5673
Phone
(617) 483-2541
NPI assigned
Jan 10, 2023
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG12220047 MA Primary

Addresses

Primary practice location

865 E 4TH St Apt 2
Boston, MA 02127-5673

Mailing address

865 E 4TH St Apt 2
Boston, MA 02127-5673
Phone (617) 483-2541

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
I20260508001623 MA Practitioner - Nurse Practitioner 5597233452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1410 S Clark Blvd
Suite 2100
Clarksville, IN 47129-3212

20 Bradston St
Boston, MA 02118-2705

865 E 4TH St
Boston, MA 02127-5673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AG12220047MAMDAdult Health Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1568176030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 E 4TH ST APT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021275673",
            "telephone_number": "617-483-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 E 4TH ST APT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021275673",
            "telephone_number": "617-483-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPREY",
        "first_name": "APRIL",
        "middle_name": "JUDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "AG12220047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.