Individual provider Active NPI

Hanna Roy, DNP

  • Family Nurse Practitioner
  • Southborough, MA
National Provider Identifier
1629475298
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2269676 Issued in MA
Practice address
154 Turnpike Rd Ste 130
Southborough, MA 01772-2120
Phone
(508) 881-5590
NPI assigned
Nov 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 RN2269676 MA Primary

Addresses

Primary practice location

154 Turnpike Rd Ste 130
Southborough, MA 01772-2120

Mailing address

171 Main St Ste 203B
Ashland, MA 01721-1187
Phone (508) 881-3029

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Roy.Hanna.CRM@direct.partners.masshiway.net Direct

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
I20150218000259 MA Practitioner - Nurse Practitioner 3779808662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

157 Washington St
Hudson, MA 01749-2765
Phone (978) 562-0564

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles River Medical Associates PC CurrentSince Jan 1, 2017 Accepting new patients
Charles River Medical Associates PC CurrentSince Jan 1, 2017 Accepting new patients

Locations

171 Main St
Ste 203B
Ashland, MA 01721
Phone (508) 881-3029

600 Worcester Rd
Ste 504
Framingham, MA 01702
Phone (508) 875-0922

571 Union Ave
Framingham, MA 01702
Phone (508) 879-8556

157 Washington St
Hudson, MA 01749
Phone (978) 562-0564

154 Turnpike Rd
Ste 130
Southborough, MA 01772
Phone (508) 881-5590

Interoperability endpoints

  • Direct secure messaging: roy.hanna.crm@direct.partners.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.

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": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1629475298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN ST STE 203B",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211187",
            "telephone_number": "508-881-3029",
            "fax_number": "508-881-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 TURNPIKE RD STE 130",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722120",
            "telephone_number": "508-881-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "HANNA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2269676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Roy.Hanna.CRM@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "154 Turnpike Rd Ste 130",
            "city": "Southborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017722120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southborough, MA

Sources for this page

Verify at the official NPI Registry.