NPIMap

Organization Active NPI

Integral Health Partners LLC

  • Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1679183545
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
INTEGRAL HEALTH PARTNERS LLC
Practice address
67 Millbrook St Ste 406a
Worcester, MA 01606-2845
Phone
(508) 283-4513
Fax
(508) 469-4057
NPI assigned
Aug 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Jennifer A. Stanhope, NPNPI 1376927400
Title
Partner
Phone
(508) 283-4513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

67 Millbrook St Ste 406a
Worcester, MA 01606-2845

Mailing address

67 Millbrook St Ste 406a
Worcester, MA 01606-2845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201106001479 MA Part B Supplier - Clinic/Group Practice 2264842087 Receives reassigned benefits from 16 practitioners
Practice locations: Worcester, MA

National Provider Directory

National Provider Directory

Locations

67 Millbrook St
Ste 406A
Worcester, MA 01606
Phone (508) 283-4513

67 Millbrook St
Ste 406B
Worcester, MA 01606
Phone (413) 512-1529

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Holden Rehabilitation and Nursing CenterHolden, MA, CCN 225002 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 17, 2021
Jul 14, 2025
Oakdale Rehabilitation & Skilled Nursing CenterWest Boylston, MA, CCN 225334 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 17, 2021
Apr 9, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1679183545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MILLBROOK ST STE 406A",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MILLBROOK ST STE 406A",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062845",
            "telephone_number": "508-283-4513",
            "fax_number": "508-469-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL HEALTH PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "STANHOPE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "508-283-4513",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.