Individual provider Active NPI

Lucy W Wahinya

  • Psychiatric/Mental Health Nurse Practitioner
  • Beverly, MA
National Provider Identifier
1679362958
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2025003819 Issued in MA
Practice address
50 Dunham RDG Rd
Suite 3200-3350
Beverly, MA 01915
Phone
(978) 600-0816
Fax
(978) 600-2047
NPI assigned
May 3, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025003819 MA Primary

Addresses

Primary practice location

50 Dunham RDG Rd
Suite 3200-3350
Beverly, MA 01915

Mailing address

40 Mystic St
Methuen, MA 01844-2417
Phone (978) 390-1113

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
I20250718001724 MA Practitioner - Nurse Practitioner 4486160348 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians
Maestro Medical Group PLLCGroup PAC ID 1951823871, 4 clinicians

Practice addresses (Care Compare)

50 Dunham Ridge Rd
Suite 3200 3350
Beverly, MA 01915
Phone (978) 600-0816

8 Hiawatha TRL
Holliston, MA 01746-3320
Phone (603) 612-5659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025003819MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Aug 1, 2025 Accepting new patients
Bay Healthcare LLC Psychiatric/Mental Health CurrentSince Jun 1, 2025 Accepting new patients

Locations

50 Dunham Rd
Ste 32003350
Beverly, MA 01915
Phone (978) 545-9958

742 Washington St
Ofc B
Braintree, MA 02184

81 Memorial Pkwy
Ofc A
Randolph, MA 02368
Phone (781) 926-3339

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1746230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1679362958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MYSTIC ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442417",
            "telephone_number": "978-390-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 DUNHAM RDG RD",
            "address_2": "SUITE 3200-3350",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-600-0816",
            "fax_number": "978-600-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHINYA",
        "first_name": "LUCY",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-03",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2025003819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.