Active NPI
Kelley Sweeney Gregorovic, RN, MSN, FNP-BC
- Family Nurse Practitioner
- Reading, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN236050
- Practice address
- 30 New Crossing Rd Ste 200
Reading, MA 01867-3271 - Phone
- (781) 213-5150
- Fax
- (781) 213-5155
- NPI assigned
- Oct 22, 2010
- 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 | RN236050 | MA | Primary |
Addresses
Primary practice location
30 New Crossing Rd Ste 200
Reading, MA 01867-3271
Mailing address
30 New Crossing Rd Ste 200
Reading, MA 01867-3271
Phone (781) 213-5150
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
425 Revere St
Revere, MA 02151-4543
Phone (781) 665-6606
Hospital & facility affiliations
- Melrosewakefield Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hallmark Health Medical Associates Inc | Family | Current | Accepting new patients |
| Hallmark Health System Inc | Past | Accepting new patients | |
| Boston Pain Specialist, PC | Past | Accepting new patients |
Locations
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
30 New Crossing Rd
Ste 200
Reading, MA 01867
Phone (781) 213-5150
425 Revere St
Revere, MA 02151
Phone (781) 286-1313
Interoperability endpoints
- kgregorovic21498@tuftsmedicine.direct-ci.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Medford, MA
- NPI 1770563900
-
- Interventional Pain Medicine Physician
- Melrose, MA
- NPI 1598951543
-
- Internal Medicine Physician
- Medford, MA
- NPI 1275673667
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1649570854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 NEW CROSSING RD STE 200",
"city": "READING",
"state": "MA",
"postal_code": "018673271",
"telephone_number": "781-213-5150",
"fax_number": "781-213-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 NEW CROSSING RD STE 200",
"city": "READING",
"state": "MA",
"postal_code": "018673271",
"telephone_number": "781-213-5150",
"fax_number": "781-213-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGOROVIC",
"first_name": "KELLEY",
"middle_name": "SWEENEY",
"name_prefix": "Mrs.",
"credential": "RN, MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-22",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN236050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reading, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.