Individual provider Active NPI

Amy Gensale, FNP-BC, NP-C

  • Family Nurse Practitioner
  • Lawrence, MA
National Provider Identifier
1750891479
Registry record updated Oct 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN280526 Issued in MA
Practice address
360 Merrimack St
Lawrence, MA 01843-1740
Phone
(978) 557-8800
NPI assigned
Oct 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2017

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 RN280526 MA Primary

Addresses

Primary practice location

360 Merrimack St
Lawrence, MA 01843-1740

Mailing address

18 Old County Rd
Pelham, NH 03076-3212
Phone (412) 953-6771

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
I20180130000811 MA Practitioner - Nurse Practitioner 0941560536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950

500 Merrimack St
Lawrence, MA 01843-1981
Phone (978) 557-8900

Andover Medical Ctr and Express Care
Suite 32
Andover, MA 01810-4501
Phone (978) 783-5000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc. CurrentSince Dec 11, 2017 Accepting new patients
Pentucket Medical Associates, LLC Current Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Dec 11, 2017 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Jan 1, 2026 Accepting new patients
Mass General Brigham Community Physicians Inc. Past Accepting new patients

Locations

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

1 Parkway
Haverhill, MA 01830
Phone (978) 521-3210

370 Merrimack St
Bldg 9
Lawrence, MA 01843

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

360 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

Interoperability endpoints

  • Direct secure messaging: agensale47109@tuftsmedicine.direct-ci.com
  • Direct secure messaging: gensale.amy.pma@direct.partners.masshiway.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1507420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507420800000",
    "number": "1750891479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OLD COUNTY RD",
            "city": "PELHAM",
            "state": "NH",
            "postal_code": "030763212",
            "telephone_number": "412-953-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431740",
            "telephone_number": "978-557-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENSALE",
        "first_name": "AMY",
        "credential": "FNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-08",
        "last_updated": "2017-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN280526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.