Individual provider Active NPI

Nancy M Pearlman, NP

  • Acute Care Nurse Practitioner
  • Boston, MA
National Provider Identifier
1669446266
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN169614 Issued in MA
Practice address
72 E Concord St # R304
Boston, MA 02118-2642
Phone
(617) 358-1340
Fax
(617) 358-1337
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 169614 MA
Acute Care Nurse Practitioner 363LA2100X RN169614 MA Primary

Addresses

Primary practice location

72 E Concord St # R304
Boston, MA 02118-2642

Mailing address

960 Massachusetts Avenue
FL 2
Boston, MA 02118-2690

Other practice location 1

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000

Other identifiers 2

IdentifierTypeStateIssuer
3126956MedicaidNH
110015082AMedicaidMA

Other names 1

  • Nancy M Carbone Former name

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
I20050505000871 MA Practitioner - Nurse Practitioner 2668412958 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services Ma PCGroup PAC ID 9931571437, 87 clinicians

Practice addresses (Care Compare)

819 Worcester St
Suite 1
Springfield, MA 01151-1056
Phone (337) 408-0805

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
169614MAMDNurse Practitioner
RN169614MAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jan 16, 2024 Accepting new patients
Charter LTC LLC CurrentSince Sep 15, 2022 Accepting new patients
Novella Medicine Services of Massachusetts, PLLC CurrentSince Dec 20, 2022 Accepting new patients
Novella Medicine Services of Massachusetts, PLLC CurrentSince Dec 20, 2022 Accepting new patients
Vibra Physicians LLC CurrentSince Jun 30, 2015 Accepting new patients
CH Specialty Services Ma PC CurrentSince Aug 30, 2023 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Jan 16, 2024 Accepting new patients
Dispatchhealth Massachusetts PC CurrentSince Jun 1, 2024 Accepting new patients
Curana Health of Massachusetts LLC CurrentSince Jun 26, 2023 Accepting new patients
Charter Health PC CurrentSince Dec 1, 2021 Accepting new patients
Nashoba Valley Healthcare Group Inc Past Accepting new patients
Umass Memorial Medical Group Inc Nurse Practitioner Past Accepting new patients
Excella Home Health Agency, LLC Past Accepting new patients

Locations

567 Southbridge St
Ste 10
Auburn, MA 01501
Phone (413) 998-1980

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

300 1st Ave
Ste 101
Needham, MA 02494

4499 Acushnet Ave
New Bedford, MA 02745
Phone (508) 207-4274

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

55 Highland Ave
Ste 304
Salem, MA 01970
Phone (978) 354-4611

819 Worcester St
Ste 1
Springfield, MA 01151
Phone (337) 408-0805

198 Charlton Rd
Ste 206
Sturbridge, MA 01566
Phone (508) 765-1600

210 Bear Hill Rd
Ste 204
Waltham, MA 02451
Phone (518) 321-4537

123 Park Ave
West Springfield, MA 01089
Phone (413) 732-8700

416 Belmont St
Ste 202
Worcester, MA 01604

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/958/brand/1/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1669446266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVENUE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 E CONCORD ST # R304",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182642",
            "telephone_number": "617-358-1340",
            "fax_number": "617-358-1337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2014 Washington St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "024621607",
            "country_code": "US",
            "telephone_number": "617-243-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARLMAN",
        "first_name": "NANCY",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "169614",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN169614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3126956",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110015082A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "CARBONE",
            "middle_name": "M",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.