Individual provider Active NPI

Abigail Marie Correira, FNP-C

  • Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1699433805
Registry record updated Sep 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2333547 Issued in MA
Practice address
235 Hanover St
Fall River, MA 02720-5246
Phone
(508) 973-1750
Fax
(508) 235-6658
NPI assigned
Dec 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2333547 MA Primary

Addresses

Primary practice location

235 Hanover St
Fall River, MA 02720-5246

Mailing address

235 Hanover St
Fall River, MA 02720-5246
Phone (508) 973-1750

Other names 1

  • Abigail Marie Bushell 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
I20220427002532 MA Practitioner - Nurse Practitioner 5698167757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5919

Hospital & facility affiliations

  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2333547MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince May 2, 2022 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Feb 22, 2023 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Feb 22, 2023 Accepting new patients
Southcoast Physicians Group, Inc. Current Accepting new patients
Prima Care, PC CurrentSince May 2, 2022 Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

277 Pleasant St
Fall River, MA 02721
Phone (508) 617-9740

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

235 Hanover St
Fall River, MA 02720
Phone (508) 646-9525

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

277 Pleasant St
Ste 202
Fall River, MA 02721
Phone (508) 235-0481

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

Interoperability endpoints

  • Direct secure messaging: abushell54939@direct.southcoast.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1638576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1699433805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HANOVER ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205246",
            "telephone_number": "508-973-1750",
            "fax_number": "508-235-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HANOVER ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205246",
            "telephone_number": "508-973-1750",
            "fax_number": "508-235-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREIRA",
        "first_name": "ABIGAIL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-04",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2333547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "BUSHELL",
            "middle_name": "MARIE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.