Individual provider Active NPI

Michele Christine Novello, FNP

  • Family Nurse Practitioner
  • Newbury, MA
National Provider Identifier
1629138532
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
186116 Issued in MA
Practice address
65 Newburyport Tpke
Newbury, MA 01951-1113
Phone
(978) 465-9770
Fax
(978) 465-7474
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 186116 MA Primary

Addresses

Primary practice location

65 Newburyport Tpke
Newbury, MA 01951-1113

Mailing address

65 Newburyport Tpke
Newbury, MA 01951-1113
Phone (978) 465-9770

Other identifiers 5

IdentifierTypeStateIssuer
92425OtherMAFALLON COMMUNITY HEALTH
9769331MedicaidMA
70206OtherMAHARVARD PILGRIM
723361OtherMATUFTS HEALTH PLAN
NP3085OtherMAMA BCBS

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
I20050701000273 MA Practitioner - Nurse Practitioner 6406892280 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186116MAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: michele.novello.1@8421.direct.athenahealth.com

Organizations & group practices 1

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629138532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 NEWBURYPORT TPKE",
            "city": "NEWBURY",
            "state": "MA",
            "postal_code": "019511113",
            "telephone_number": "978-465-9770",
            "fax_number": "978-465-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 NEWBURYPORT TPKE",
            "city": "NEWBURY",
            "state": "MA",
            "postal_code": "019511113",
            "telephone_number": "978-465-9770",
            "fax_number": "978-465-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVELLO",
        "first_name": "MICHELE",
        "middle_name": "CHRISTINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "186116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HEALTH",
            "identifier": "92425",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9769331",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "70206",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "723361",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA BCBS",
            "identifier": "NP3085",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury, MA

Sources for this page

Verify at the official NPI Registry.