Individual provider Active NPI

Elena Papovsky, NP

  • Women's Health Nurse Practitioner
  • Cambridge, MA
National Provider Identifier
1629035811
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
254718 Issued in MA
Practice address
725 Concord Ave Ste 1200
Cambridge, MA 02138-1055
Phone
(617) 503-1000
Fax
(617) 547-0184
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 254718 MA Primary

Addresses

Primary practice location

725 Concord Ave Ste 1200
Cambridge, MA 02138-1055

Mailing address

725 Concord Ave Ste 1200
Cambridge, MA 02138-1055
Phone (617) 503-1000

Other identifiers 1

IdentifierTypeStateIssuer
110024682AMedicaidMA

Other names 1

  • Elena Bizounok 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
I20050104000929 MA Practitioner - Nurse Practitioner 6305894593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Auburn Professional Services IncGroup PAC ID 6103725031, 229 clinicians

Practice addresses (Care Compare)

330 Mount Auburn St
Cambridge, MA 02138-5502

57 Bedford St
Suite 130
Lexington, MA 02420-4543
Phone (781) 862-7500

Hospital & facility affiliations

  • Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254718MAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Auburn Professional Services Inc CurrentSince May 20, 2017 Accepting new patients
Mt Auburn Professional Services CurrentSince May 20, 2017 Accepting new patients
Mt Auburn Professional Services PastSince May 16, 2022 Accepting new patients
Mount Auburn Hospital Past Accepting new patients

Locations

725 Concord Ave
Ste 1200
Cambridge, MA 02138
Phone (617) 354-5452

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

521 Mount Auburn St
Ste 103
Watertown, MA 02472
Phone (617) 926-2414

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: epapovsky252833@direct.bilh.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 and National Provider Directory roles.

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1629035811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CONCORD AVE STE 1200",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381055",
            "telephone_number": "617-503-1000",
            "fax_number": "617-926-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CONCORD AVE STE 1200",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381055",
            "telephone_number": "617-503-1000",
            "fax_number": "617-547-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPOVSKY",
        "first_name": "ELENA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "254718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110024682A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "BIZOUNOK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.