Individual provider Active NPI

Prisca Langa Ouellette, APRN

  • Gerontology Nurse Practitioner
  • Stoneham, MA
National Provider Identifier
1598217564
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
051510-23 Issued in NH
Practice address
11 North St
Stoneham, MA 02180-1040
Phone
(603) 759-4559
Fax
(603) 718-8347
NPI assigned
Oct 26, 2016
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 051510-23 NH
Gerontology Nurse Practitioner 363LG0600X 051510 NH
Gerontology Nurse Practitioner 363LG0600X RN255550 MA
Gerontology Nurse Practitioner 363LG0600X 051510-23 NH Primary

Addresses

Primary practice location

11 North St
Stoneham, MA 02180-1040

Mailing address

56 Marie Ave
Nashua, NH 03063-3557
Phone (603) 930-0137

Other practice location 1

56 Marie Ave
Nashua, NH 03063-3557
Phone (603) 759-4559

Other names 1

  • Ms. Prisca Langa Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170119000489 MA Practitioner - Nurse Practitioner 8820370281 Reassigns benefits to 3 organizations
I20170203002504 NH Practitioner - Nurse Practitioner 8820370281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 N St
Stoneham, MA 02180-1040
Phone (603) 759-4559

56 Marie Ave
Nashua, NH 03063-3557
Phone (603) 930-0137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051510-23NHMDAdult Health Nurse Practitioner
RN255550MAMDGerontology Nurse Practitioner
051510NHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maya Berdzenishvili MD LLC CurrentSince Jun 1, 2024 Accepting new patients
At Care, PLLC CurrentSince Nov 1, 2017 Accepting new patients
Langa Home Health Care Services LLC CurrentSince Apr 14, 2024 Accepting new patients
Elliot Physicians Network CurrentSince Apr 15, 2019 Accepting new patients

Locations

95 Commercial St
Braintree, MA 02184
Phone (781) 848-0596

120 Main St
Malden, MA 02148
Phone (781) 322-3005

11 North St
Stoneham, MA 02180
Phone (603) 759-4559

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

138 Webster St
Manchester, NH 03104
Phone (603) 645-5977

275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222

Organizations & group practices 5

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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1598217564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 MARIE AVE",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633557",
            "telephone_number": "603-930-0137",
            "fax_number": "603-663-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NORTH ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801040",
            "telephone_number": "603-759-4559",
            "fax_number": "603-718-8347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 Marie Ave",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030633557",
            "country_code": "US",
            "telephone_number": "603-759-4559",
            "fax_number": "603-718-8347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUELLETTE",
        "first_name": "PRISCA",
        "middle_name": "LANGA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "051510-23",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NH",
            "license": "051510",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN255550",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NH",
            "license": "051510-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRISCA",
            "last_name": "LANGA",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.