Individual provider Active NPI

John Besaw, NP

  • Nurse Practitioner
  • Harwich, MA
National Provider Identifier
1689717563
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
300873 Issued in NY
Practice address
525 Long Pond Drive
Harwich, MA 02645
Phone
(508) 430-3322
NPI assigned
Feb 14, 2007
Last updated
May 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 300873 NY Primary
Adult Health Nurse Practitioner 363LA2200X RN2288755 MA

Addresses

Primary practice location

525 Long Pond Drive
Harwich, MA 02645

Mailing address

525 Long Pond Dr
Harwich, MA 02645-1227
Phone (508) 430-3322

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
I20140306001447 MA Practitioner - Nurse Practitioner 4183850969 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2288755MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Healthcare Solutions LLC Nurse Practitioner CurrentSince Feb 1, 2021 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jun 21, 2015 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Oct 21, 2013 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jun 21, 2015 Accepting new patients

Locations

525 Long Pond Dr
Harwich, MA 02645
Phone (508) 430-3311

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1689717563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 LONG POND DR",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026451227",
            "telephone_number": "508-430-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 LONG POND DRIVE",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "02645",
            "telephone_number": "508-430-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESAW",
        "first_name": "JOHN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "300873",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2288755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harwich, MA

Sources for this page

Verify at the official NPI Registry.