Active NPI
Bethany Rubino, FNP-BC
- Family Nurse Practitioner
- Salem, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 112733-23
- Practice address
- 30 Tuscan Blvd
Salem, NH 03079-3981 - Phone
- (978) 766-4221
- NPI assigned
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2324536 | MA | |
| Family Nurse Practitioner | 363LF0000X | 112733-23 | NH | Primary |
Addresses
Primary practice location
30 Tuscan Blvd
Salem, NH 03079-3981
Mailing address
110 Bay State Rd
Melrose, MA 02176-1407
Phone (978) 766-4221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Massachusetts Medical School, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
194 R N St
Danvers, MA 01923-1242
Phone (978) 646-2100
Hospital & facility affiliations
- North Shore Medical Center -
- Massachusetts General Hospital
- Spaulding Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2324536 | MA | MD | Family Nurse Practitioner |
| 112733-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Northern Massachusetts Inc | Current | Accepting new patients | |
| Mass General Brigham Medical Group, Inc. | Current | Accepting new patients | |
| Mass General Brigham Amsurg Inc. | Past | Accepting new patients |
Locations
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
194 North St
#R
Danvers, MA 01923
Phone (978) 561-6363
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063
30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100
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.
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
-
- Internal Medicine Physician
- Salem, NH
- NPI 1083360200
-
- Ambulatory Surgical Clinic/Center
- Salem, NH
- NPI 1275281370
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1710708482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 BAY STATE RD",
"city": "MELROSE",
"state": "MA",
"postal_code": "021761407",
"telephone_number": "978-766-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 TUSCAN BLVD",
"city": "SALEM",
"state": "NH",
"postal_code": "030793981",
"telephone_number": "978-766-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBINO",
"first_name": "BETHANY",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-24",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2324536",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "112733-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.