Paul Pricop, NURSE PRACTITIONER

Key facts

NPI

1689031908

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

RN2272015 (MA)

Practice address

819 Worcester St Ste 3
Springfield, MA 01151-1056

Phone

(413) 543-6820

Fax

(413) 543-7962

NPI assigned

Jan 17, 2016

Sex

Male

Sole proprietor

Yes

Organizations & group practices 5

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.

• Charter Health PC Internal Medicine Physician · Salem, MA · NPI 1750824124
  Medicare reassignment NPD MA
• Ipc Hospitalists of New England, P.C. Internal Medicine Physician · Springfield, MA · NPI 1659555266
  Medicare reassignment NPD MA · NURSE PRACTITIONER
• Signify Health Medical Associates, PLLC General Practice Physician · Dallas, TX · NPI 1750845863
  Medicare reassignment NPD MA · NURSE PRACTITIONER
• Ipc Hospitalists of New England PC Internal Medicine Physician · Springfield, MA · NPI 1801330287
  NPD NURSE PRACTITIONER
• Asthma & Allergy Affiliates Inc Allergy Physician · Salem, MA · NPI 1245300045
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Paul Pricop Professional name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 14, 2016.

{
    "created_epoch": "1452988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1689031908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 WORCESTER ST STE 3",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011511056",
            "telephone_number": "413-543-6820",
            "fax_number": "413-543-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 WORCESTER ST STE 3",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011511056",
            "telephone_number": "413-543-6820",
            "fax_number": "413-543-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICOP",
        "first_name": "PAUL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-17",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2272015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "PRICOP",
            "credential": "NURSE PRCATITIONER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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All providers in Springfield, MA · Nurse Practitioner in Massachusetts