Individual provider Active NPI

Rebecca Berry, FNP-C

  • Family Nurse Practitioner
  • North Andover, MA
National Provider Identifier
1629857263
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN03890 Issued in RI
Practice address
451 Andover St Ste 205
North Andover, MA 01845-5079
Phone
(401) 250-5228
Fax
(781) 480-1988
NPI assigned
Sep 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 APRN03890 RI Primary

Addresses

Primary practice location

451 Andover St Ste 205
North Andover, MA 01845-5079

Mailing address

90 Tomaquag Valley Rd
Bradford, RI 02808-1720
Phone (401) 622-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20240409004324 RI Practitioner - Nurse Practitioner 7416395447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blueprint Healthcare LLCGroup PAC ID 1153665062, 11 clinicians

Practice addresses (Care Compare)

4 Saint Joseph St
Woonsocket, RI 02895-5416
Phone (781) 480-1976

Hospital & facility affiliations

  • Concord Health Services Home health agency, Cranston, RI, CCN 417049
  • Saint Elizabeth Home Care (Cathleen Naughton Associates) Home health agency, Warwick, RI, CCN 417038
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN03890RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blueprint Healthcare LLC CurrentSince Feb 1, 2024 Accepting new patients
Core Clinicals LLC CurrentSince Apr 17, 2024 Accepting new patients

Locations

451 Andover St
Ste 205
North Andover, MA 01845
Phone (978) 983-2434

132 Old River Rd
Ste 108
Lincoln, RI 02865
Phone (401) 334-1044

180 Log Rd
Smithfield, RI 02917
Phone (401) 231-7016

4 Saint Joseph St
Woonsocket, RI 02895
Phone (401) 765-5844

Interoperability endpoints

  • Direct secure messaging: blueprinthealthcare.rebeccaberry@159334.advancedmd-direct.com

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 3

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": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1629857263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 TOMAQUAG VALLEY RD",
            "city": "BRADFORD",
            "state": "RI",
            "postal_code": "028081720",
            "telephone_number": "401-622-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST STE 205",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455079",
            "telephone_number": "401-250-5228",
            "fax_number": "781-480-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "REBECCA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.