Individual provider Active NPI

Kelley Sweeney Gregorovic, RN, MSN, FNP-BC

  • Family Nurse Practitioner
  • Reading, MA
National Provider Identifier
1649570854
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN236050 Issued in MA
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

Updated by the provider on Apr 27, 2021

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120510000143 MA Practitioner - Nurse Practitioner 1759543689 Reassigns benefits to 1 organization

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
Hallmark Health Medical Associates IncGroup PAC ID 4385638782, 151 clinicians

Practice addresses (Care Compare)

425 Revere St
Revere, MA 02151-4543
Phone (781) 665-6606

Hospital & facility affiliations

  • Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hallmark Health Medical Associates Inc Family CurrentSince Dec 2, 2013 Accepting new patients
Hallmark Health System Inc Past Accepting new patients
Boston Pain Specialist, PC PastSince May 16, 2021 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.