Active NPI
Nice Nabitaka, FNP
- Family Nurse Practitioner
- Palmer, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2267615
- 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, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MN0955813I | Other | MA | CONTROLLED SUBSTANCE REGISTRATION |
| 110028120 | Medicaid | MA |
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Mass Individualized Home Care LLC | Family | Current | Accepting new patients |
| Caring Health Center, Inc. | Current | Accepting new patients | |
| Western Mass Individualized Home Care LLC | Family | Current | Accepting new patients |
| Caring Health Center, Inc | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Springfield, MA
- NPI 1659476356
-
- Family Nurse Practitioner
- Belchertown, MA
- NPI 1386362226
-
- Family Nurse Practitioner
- Belchertown, MA
- NPI 1780320747
-
- Medical Specialty Clinic/Center
- Springfield, MA
- NPI 1942925896
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baystate Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
dba Baystate Reference Laboratories
- Clinical Medical Laboratory
- Springfield, MA
- NPI 1568488450
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.