Individual provider Active NPI

Nancy Kilima, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Danvers, MA
National Provider Identifier
1689360489
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2331643 Issued in MA
Practice address
199 Rosewood Dr Ste 300
Danvers, MA 01923-1388
Phone
(978) 824-4205
NPI assigned
Apr 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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 RN2331643 MA Primary

Addresses

Primary practice location

199 Rosewood Dr Ste 300
Danvers, MA 01923-1388

Mailing address

93 Ward St Unit 101
Revere, MA 02151-1336
Phone (781) 513-4811

Other practice location 1

93 Ward St Unit 101
Revere, MA 02151-1336
Phone (781) 513-4811

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
I20230811001003 MA Practitioner - Nurse Practitioner 1456713122 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
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
Devens Treatment and Recovery Center LLCGroup PAC ID 8123319498, 29 clinicians

Practice addresses (Care Compare)

199 Rosewood Dr
Suite 300
Danvers, MA 01923-1388
Phone (978) 494-8163

85 Patton Rd
Devens, MA 01434-4401
Phone (978) 615-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2331643MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Behavioral Care of Ma LLC CurrentSince Jan 15, 2025 Accepting new patients
Nano Vital Minds LLC Current Accepting new patients
Holyoke Capital JV, LLC CurrentSince Sep 4, 2025 Accepting new patients
HKD Outreach PC CurrentSince Dec 26, 2024 Accepting new patients
Devens Treatment & Recovery Center, LLC Psychiatric/Mental Health CurrentSince Nov 28, 2025 Accepting new patients
Northeast Health Services, LLC CurrentSince Jul 27, 2023 Accepting new patients

Locations

19 Midstate Dr
Ste 110
Auburn, MA 01501

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

199 Rosewood Dr
Ste 300
Danvers, MA 01923
Phone (978) 291-7066

85 Patton Rd
Devens, MA 01434
Phone (978) 615-5200

1233 Main St
Holyoke, MA 01040
Phone (413) 264-0819

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

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Interoperability endpoints

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

Organizations & group practices 6

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": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1689360489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 WARD ST UNIT 101",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021511336",
            "telephone_number": "781-513-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 ROSEWOOD DR STE 300",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231388",
            "telephone_number": "978-824-4205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93 Ward St Unit 101",
            "address_purpose": "LOCATION",
            "city": "Revere",
            "state": "MA",
            "postal_code": "021511336",
            "country_code": "US",
            "telephone_number": "781-513-4811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILIMA",
        "first_name": "NANCY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2331643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.