Individual provider Active NPI

William Michael Vitale, NP

  • Nurse Practitioner
  • Mendon, MA
National Provider Identifier
1669785812
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN230502 Issued in MA
Practice address
12 Uxbridge Rd
Mendon, MA 01756-1094
Phone
(508) 634-6620
Fax
(508) 634-6813
NPI assigned
Jul 16, 2010
Last updated
Mar 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NNP37557 RI
Family Nurse Practitioner 363LF0000X RN230502 MA
Nurse Practitioner 363L00000X RN230502 MA Primary

Addresses

Primary practice location

12 Uxbridge Rd
Mendon, MA 01756-1094

Mailing address

9 Industrial Rd
Suit3 5
Milford, MA 01757-3735
Phone (508) 473-1480

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
I20150706001378 MA Practitioner - Nurse Practitioner 8527242098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

1 Lumber St
Hopkinton, MA 01748-2363
Phone (508) 435-5936

12 Uxbridge Rd
Suite 201
Mendon, MA 01756-1095
Phone (508) 634-6620

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NNP37557RIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Regional Physician Group, Inc. CurrentSince May 2, 2016 Accepting new patients
Milford Regional Physician Group, Inc. CurrentSince May 2, 2016 Accepting new patients
Umass Memorial Medical Group Inc Nurse Practitioner Current Accepting new patients
Milford Regional Physician Group, Inc. Current Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients

Locations

1 Lumber St
Hopkinton, MA 01748
Phone (508) 435-5936

68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020

12 Uxbridge Rd
Mendon, MA 01756
Phone (508) 473-6320

12 Uxbridge Rd
Ste 201
Mendon, MA 01756
Phone (508) 634-6620

100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338

9 Industrial Rd
Ste 3
Milford, MA 01757

9 Industrial Rd
Ste 5
Milford, MA 01757
Phone (508) 473-1480

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: vitale.william.tcma@direct.partners.masshiway.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1669785812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 INDUSTRIAL RD",
            "address_2": "SUIT3 5",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573735",
            "telephone_number": "508-473-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 UXBRIDGE RD",
            "city": "MENDON",
            "state": "MA",
            "postal_code": "017561094",
            "telephone_number": "508-634-6620",
            "fax_number": "508-634-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "NNP37557",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN230502",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN230502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendon, MA

Sources for this page

Verify at the official NPI Registry.