Individual provider Active NPI

Nice Nabitaka, FNP

  • Family Nurse Practitioner
  • Palmer, MA
National Provider Identifier
1669882346
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2267615 Issued in MA
Practice address
40 Wright St
Palmer, MA 01069-1138
Phone
(413) 370-5400
Fax
(413) 370-5654
NPI assigned
May 2, 2014
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 RN2267615 MA Primary

Addresses

Primary practice location

40 Wright St
Palmer, MA 01069-1138

Mailing address

280 Chestnut St FL 2
Springfield, MA 01199-1001
Phone (413) 794-5700

Other identifiers 2

IdentifierTypeStateIssuer
MN0955813IOtherMACONTROLLED SUBSTANCE REGISTRATION
110028120MedicaidMA

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
I20141021002385 MA Practitioner - Nurse Practitioner 4880815547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Health Center, IncGroup PAC ID 7315840386, 26 clinicians

Practice addresses (Care Compare)

1049 Main St
Springfield, MA 01103-2114
Phone (413) 739-1100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Individualized Home Care LLC Family CurrentSince Jul 1, 2022 Accepting new patients
Caring Health Center, Inc. CurrentSince Jul 7, 2014 Accepting new patients
Western Mass Individualized Home Care LLC Family Current Accepting new patients
Caring Health Center, Inc CurrentSince Jul 7, 2014 Accepting new patients

Locations

145 Old Amherst Rd
Belchertown, MA 01007
Phone (413) 253-9777

1049 Main St
Springfield, MA 01103
Phone (413) 304-4606

1235 Boston Rd
Springfield, MA 01119
Phone (413) 693-1022

532 Sumner Ave
Springfield, MA 01108
Phone (413) 693-1045

860 Boston Rd
Springfield, MA 01119
Phone (413) 783-9616

Interoperability endpoints

  • Direct secure messaging: nnabitaka136021@direct.ochin.org

Organizations & group practices 4

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 2

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": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669882346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST FL 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WRIGHT ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691138",
            "telephone_number": "413-370-5400",
            "fax_number": "413-370-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABITAKA",
        "first_name": "NICE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2023-03-07",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2267615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGISTRATION",
            "identifier": "MN0955813I",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110028120",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, MA

Sources for this page

Verify at the official NPI Registry.