Individual provider Active NPI

Mikaela Sliva, APRN

  • Family Nurse Practitioner
  • Beverly, MA
National Provider Identifier
1679301196
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN10027150 Issued in MA
Practice address
19 Dodge St Ste B
Beverly, MA 01915-1705
Phone
(915) 833-8444
NPI assigned
Jul 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1169707 TX
Family Nurse Practitioner 363LF0000X RN10027150 MA Primary

Addresses

Primary practice location

19 Dodge St Ste B
Beverly, MA 01915-1705

Mailing address

300 Canal St
Salem, MA 01970-4558

Other practice location 1

300 Canal St
Salem, MA 01970-4558
Phone (603) 520-7420

Other names 1

  • Mikaela Guertin 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
I20251017000642 MA Practitioner - Nurse Practitioner 8123552577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

413 Paradise Rd
Suite B
Swampscott, MA 01907-1332
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN10027150MAMDFamily Nurse Practitioner
1169707TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Massachusetts PC CurrentSince Dec 13, 2025 Accepting new patients
NPI 1861266942 CurrentSince Aug 14, 2025 Accepting new patients
NPI 1518715812 CurrentSince Aug 14, 2025 Accepting new patients
CVS Clinic PLLC Family Current Accepting new patients

Locations

19 Dodge St
#B
Beverly, MA 01915
Phone (781) 328-6542

413 Paradise Rd
#B
Swampscott, MA 01907
Phone (978) 922-2003

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1679301196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CANAL ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DODGE ST STE B",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151705",
            "telephone_number": "915-833-8444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Canal St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019704558",
            "country_code": "US",
            "telephone_number": "603-520-7420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLIVA",
        "first_name": "MIKAELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1169707",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN10027150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKAELA",
            "last_name": "GUERTIN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.