Individual provider Active NPI

Vanessa Rose Nybo, FNP

  • Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1609184589
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN285114 Issued in MA
Practice address
123 Summer St Ste 150S
Worcester, MA 01608-1216
Phone
(508) 368-3110
Fax
(508) 368-3113
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN285114 MA Primary

Addresses

Primary practice location

123 Summer St Ste 150S
Worcester, MA 01608-1216

Mailing address

5 Neponset St
Attn: Medical Staff Services
Worcester, MA 01606-2714
Phone (508) 368-3110

Other practice location 1

106 E Main St
Westborough, MA 01581-1417
Phone (508) 871-0700

Other names 1

  • Vanessa Rose Dipilato 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
I20101228000124 MA Practitioner - Nurse Practitioner 0941498497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians

Practice addresses (Care Compare)

123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000

5 Neponset St
Worcesteer, MA 01606-2714
Phone (508) 595-2300

900 Union St
Westborough, MA 01581-5408
Phone (508) 366-8836

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Medical Group, Inc CurrentSince Oct 18, 2010 Accepting new patients
Reliant Medical Group, Inc Past Accepting new patients

Locations

900 Union St
Westborough, MA 01581
Phone (508) 871-0700

106 E Main St
Westborough, MA 01581
Phone (508) 871-0700

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

5 Neponset St
#2
Worcester, MA 01606

123 Summer St
Ste 150S
Worcester, MA 01608
Phone (508) 368-3110

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

Interoperability endpoints

  • Direct secure messaging: vanessa.dipilato.npi1609184589.reliant@direct.optumcare.masshiway.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1609184589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NEPONSET ST",
            "address_2": "ATTN: MEDICAL STAFF SERVICES",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062714",
            "telephone_number": "508-368-3110",
            "fax_number": "508-368-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST STE 150S",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-368-3110",
            "fax_number": "508-368-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 E Main St",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015811417",
            "country_code": "US",
            "telephone_number": "508-871-0700",
            "fax_number": "508-616-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYBO",
        "first_name": "VANESSA",
        "middle_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN285114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "DIPILATO",
            "middle_name": "ROSE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.