Active NPI
Nancy P Mizzoni, N.P.
- Pediatric Nurse Practitioner
- Concord, MA
National Provider Identifier
1730354515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- NP156831
- Practice address
- 131 Old Road to 9 Acre Cor
Suite 470
Concord, MA 01742-4181 - Phone
- (978) 369-5050
- NPI assigned
- Apr 23, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | NP156831 | MA | Primary |
Addresses
Primary practice location
131 Old Road to 9 Acre Cor
Suite 470
Concord, MA 01742-4181
Mailing address
131 Old Road to 9 Acre Cor
Suite 470
Concord, MA 01742-4181
Phone (978) 369-5050
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
310 Baker Ave
Concord, MA 01742-2127
PO Box
Boston, MA 02241
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP156831 | MA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerson Practice Associates, Inc. | Current | Accepting new patients | |
| Nana Girgis McMahon, MD, PC | Past | Accepting new patients |
Locations
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
131 Ornac
Ste 470
Concord, MA 01742
Phone (978) 369-5050
Interoperability endpoints
- mizzoni.nancy.epa@direct.partners.masshiway.net
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Concord, MA
- NPI 1508020199
-
- Pediatric Adolescent Medicine Physician
- Concord, MA
- NPI 1033243316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446163200000",
"number": "1730354515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 OLD ROAD TO 9 ACRE COR",
"address_2": "SUITE 470",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424181",
"telephone_number": "978-369-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 OLD ROAD TO 9 ACRE COR",
"address_2": "SUITE 470",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424181",
"telephone_number": "978-369-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZZONI",
"first_name": "NANCY",
"middle_name": "P",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2015-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "NP156831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.