Individual provider Active NPI

Savanna M Conger, NP-C

  • Nurse Practitioner
  • Boston, MA
National Provider Identifier
1588245906
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2316609 Issued in MA
Practice address
165 Cambridge St Ste 501
Boston, MA 02114-2759
Phone
(617) 726-4900
NPI assigned
Apr 16, 2021
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2316609 MA Primary
Family Nurse Practitioner 363LF0000X F04210283 MA

Addresses

Primary practice location

165 Cambridge St Ste 501
Boston, MA 02114-2759

Mailing address

4 Brotherton Way
Auburn, MA 01501-2684

Other practice location 1

4 Brotherton Way
Auburn, MA 01501-2684
Phone (508) 832-9621

Other names 1

  • Savanna M Zichelle Former name

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
I20210818001309 MA Practitioner - Nurse Practitioner 8527463207 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The General Hospital CorporationGroup PAC ID 6507803806, 1,275 clinicians

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2316609MAMDNurse Practitioner
F04210283MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Sep 16, 2024 Accepting new patients
General Hospital Corp Current Accepting new patients
Reliant Medical Group, Inc CurrentSince Jul 19, 2021 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Sep 16, 2024 Accepting new patients

Locations

4 Brotherton Way
Auburn, MA 01501
Phone (508) 425-5446

165 Cambridge St
Ste 501
Boston, MA 02114
Phone (617) 726-4600

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

5 Neponset St
Fl 12
Worcester, MA 01606
Phone (508) 852-6175

Interoperability endpoints

  • Direct secure messaging: conger.savanna.mgh@direct.partners.masshiway.net
  • Direct secure messaging: savanna.zichelle.npi1588245906.reliant@direct.optumcare.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1588245906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BROTHERTON WAY",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CAMBRIDGE ST STE 501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142759",
            "telephone_number": "617-726-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Brotherton Way",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "MA",
            "postal_code": "015012684",
            "country_code": "US",
            "telephone_number": "508-832-9621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONGER",
        "first_name": "SAVANNA",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2316609",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "F04210283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNA",
            "last_name": "ZICHELLE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.