Individual provider Active NPI

Xiomiberth Perez de la Rosa

  • Family Nurse Practitioner
  • Fitchburg, MA
National Provider Identifier
1710840616
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2373389 Issued in MA
Practice address
470 Main St Apt 5G
Fitchburg, MA 01420-8055
Phone
(978) 870-7148
NPI assigned
Dec 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2373389 MA Primary

Addresses

Primary practice location

470 Main St Apt 5G
Fitchburg, MA 01420-8055

Mailing address

470 Main St Apt 5G
Fitchburg, MA 01420-8055
Phone (978) 870-7148

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
I20260413002486 MA Practitioner - Nurse Practitioner 0749755148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Pain Management PLLCGroup PAC ID 9638412497, 7 clinicians

Practice addresses (Care Compare)

33 Electric Ave
Suite 102
Fitchburg, MA 01420-7954
Phone (978) 343-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2373389MAMDFamily Nurse Practitioner

Organizations & group practices 1

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": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1710840616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 MAIN ST APT 5G",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208055",
            "telephone_number": "978-870-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 MAIN ST APT 5G",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208055",
            "telephone_number": "978-870-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ DE LA ROSA",
        "first_name": "XIOMIBERTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2373389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

Verify at the official NPI Registry.