Active NPI
Debra A Litke, RN/NP
- Adult Health Nurse Practitioner
- Needham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 212645
- Practice address
- 941 Great Plain Ave
Needham, MA 02492-3031 - Phone
- (339) 777-5554
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 212645 | MA | Primary |
Addresses
Primary practice location
941 Great Plain Ave
Needham, MA 02492-3031
Mailing address
941 Great Plain Ave
Needham, MA 02492-3031
Phone (339) 777-5554
Other practice location 1
138 Conant St
Beverly, MA 01915-1672
Phone (978) 691-5690
Other names 1
- Debra A Connolly
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
138 Conant St
Beverly, MA 01915-1672
Phone (978) 791-2727
Hospital & facility affiliations
- Northeast Hospital Corporation
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.63 of 100
- Quality
- 84.27
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212645 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neda at North Shore PC | Current | Accepting new patients | |
| Northeast Dermatology Associates, PC | Current | Accepting new patients | |
| Wave Medical Aesthetics | Adult Health | Current | Accepting new patients |
| Nedan LLC | Past | Accepting new patients |
Locations
77 Herrick St
Ste 203
Beverly, MA 01915
Phone (978) 927-4444
138 Conant St
Ste 1
Beverly, MA 01915
138 Conant St
Beverly, MA 01915
Phone (978) 927-5254
22 South St
Hopkinton, MA 01748
Phone (508) 625-0606
941 Great Plain Ave
Needham, MA 02492
Phone (339) 777-5554
538 Turnpike St
North Andover, MA 01845
Phone (978) 683-9201
Interoperability endpoints
- debra.litke@pd.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Specialist
- North Andover, MA
- NPI 1104921162
-
- Adult Health Nurse Practitioner
- Needham, MA
- NPI 1598583056
-
- Dermatology Physician
- Marblehead, MA
- NPI 1902345861
-
- Dermatology Physician
- North Andover, MA
- NPI 1669844163
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1578610945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 GREAT PLAIN AVE",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024923031",
"telephone_number": "339-777-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 GREAT PLAIN AVE",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024923031",
"telephone_number": "339-777-5554"
}
],
"practiceLocations": [
{
"address_1": "138 Conant St",
"address_purpose": "LOCATION",
"city": "Beverly",
"state": "MA",
"postal_code": "019151672",
"country_code": "US",
"telephone_number": "978-691-5690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LITKE",
"first_name": "DEBRA",
"middle_name": "A",
"credential": "RN/NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "212645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "CONNOLLY",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.