Individual provider Active NPI

Noelle Grace Efantis, DNP, FNP-BC

  • Family Nurse Practitioner
  • Longmeadow, MA
National Provider Identifier
1720716681
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2302800 Issued in MA
Practice address
1200 Converse St Ste 200
Longmeadow, MA 01106-1760
Phone
(413) 374-0031
NPI assigned
Aug 9, 2022
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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 RN2302800 MA Primary

Addresses

Primary practice location

1200 Converse St Ste 200
Longmeadow, MA 01106-1760

Mailing address

353 Bennett Rd
Hampden, MA 01036-9103
Phone (860) 709-3772

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
I20221108002276 MA Practitioner - Nurse Practitioner 1658748454 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriatric Primary Care PCGroup PAC ID 7315483583, 14 clinicians
Am Medical PCGroup PAC ID 9133451990, 14 clinicians

Practice addresses (Care Compare)

12 Town Farm Rd
Charlton, MA 01507-1556
Phone (508) 248-5136

1200 Converse St
Longmeadow, MA 01106-1675
Phone (413) 374-0031

50 Benton Dr
East Longmeadow, MA 01028-2772
Phone (413) 374-0031

50 Village Hill Rd
Northampton, MA 01060-3664
Phone (413) 374-0031

551 N Rd
Westfield, MA 01085-5143
Phone (413) 374-0031

723 Main St
Agawam, MA 01001-2540
Phone (413) 374-0031

73 S St
Ware, MA 01082-1689
Phone (413) 374-0031

741 Parker St
East Longmeadow, MA 01028-1488
Phone (413) 374-0031

807 Wilbraham Rd
Springfield, MA 01109-2067
Phone (413) 374-0031

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Biologics LLC CurrentSince Mar 1, 2024 Accepting new patients
Am Medical PC CurrentSince Sep 23, 2022 Accepting new patients
Curana Health of Massachusetts LLC Family CurrentSince Jan 15, 2024 Accepting new patients
Regional Healthcare Group LLC CurrentSince May 26, 2025 Accepting new patients
Geriatric Primary Care PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

723 Main St
Agawam, MA 01001

1200 Converse St
Longmeadow, MA 01106
Phone (413) 567-4200

1200 Converse St
Ste 200
Longmeadow, MA 01106
Phone (413) 567-4270

819 Worcester St
Ste 1
Springfield, MA 01151
Phone (337) 408-0805

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1720716681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 BENNETT RD",
            "city": "HAMPDEN",
            "state": "MA",
            "postal_code": "010369103",
            "telephone_number": "860-709-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CONVERSE ST STE 200",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061760",
            "telephone_number": "413-374-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFANTIS",
        "first_name": "NOELLE",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2302800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.