Active NPI
Phoebe Theresa Peal, FNP
- Family Nurse Practitioner
- Concord, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2355187
- Practice address
- 133 Ornac
Concord, MA 01742-4159 - Phone
- (978) 287-1400
- NPI assigned
- Jul 9, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2355187 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN2355187 | MA | Primary |
Addresses
Primary practice location
133 Ornac
Concord, MA 01742-4159
Mailing address
434 McGrath Hwy Apt 214
Somerville, MA 02143-2165
Phone (508) 738-1100
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 N Rd
Suite 120
Bedford, MA 01730-1078
Phone (339) 215-5100
Hospital & facility affiliations
- Emerson Hospital -
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2355187 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerson Practice Associates, Inc. | Current | Accepting new patients |
Locations
55 North Rd
Ste 120
Bedford, MA 01730
Phone (339) 215-5100
62 13th St
Charlestown, MA 02129
Phone (617) 724-4260
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
54 Baker Avenue Ext
Ste 101
Concord, MA 01742
Phone (978) 287-3532
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.
-
- Internal Medicine Physician
- Concord, MA
- NPI 1508020199
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1649904376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 MCGRATH HWY APT 214",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021432165",
"telephone_number": "508-738-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 ORNAC",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424159",
"telephone_number": "978-287-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEAL",
"first_name": "PHOEBE",
"middle_name": "THERESA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-09",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2355187",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2355187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.