Active NPI
Michele Christine Novello, FNP
- Family Nurse Practitioner
- Newbury, MA
National Provider Identifier
1629138532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 186116
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92425 | Other | MA | FALLON COMMUNITY HEALTH |
| 9769331 | Medicaid | MA | |
| 70206 | Other | MA | HARVARD PILGRIM |
| 723361 | Other | MA | TUFTS HEALTH PLAN |
| NP3085 | Other | MA | MA 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 186116 | MA | MD | Family Nurse Practitioner |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.