Individual provider Active NPI

Colleen Hanesian, NP

  • Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1760905640
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2259205 Issued in MA
Practice address
100 Camp St
Hyannis, MA 02601-3063
Phone
(508) 775-1984
Fax
(508) 790-1897
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2259205 MA Primary

Addresses

Primary practice location

100 Camp St
Hyannis, MA 02601-3063

Mailing address

100 Camp St
Hyannis, MA 02601-3063

Other practice location 1

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 856-5599

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
I20171103001509 MA Practitioner - Nurse Practitioner 3678839883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Vascular Care Group LLCGroup PAC ID 2769871078, 25 clinicians

Practice addresses (Care Compare)

21 Eastern Ave
Floor 3
Worcester, MA 01605-3094
Phone (508) 556-0223

Hospital & facility affiliations

  • Vna of Cape Cod Home health agency, South Dennis, MA, CCN 227067
  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Falmouth Hospital Hospital, Falmouth, MA, CCN 220135

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J. Hoenig, MD, PC CurrentSince Nov 1, 2020 Accepting new patients
Vascular Care Group LLC CurrentSince Jul 14, 2021 Accepting new patients

Locations

85 Lincoln St
Ste T4002
Framingham, MA 01702
Phone (508) 250-0087

100 Camp St
Hyannis, MA 02601
Phone (508) 775-1984

50 Memorial Dr
Ste 112
Leominster, MA 01453
Phone (978) 534-3179

40 Industrial Park Rd
Ste 203
Plymouth, MA 02360
Phone (508) 356-6404

214 Charlton Rd
Sturbridge, MA 01566
Phone (508) 556-0959

21 Eastern Ave
Ste 3
Worcester, MA 01605
Phone (508) 556-0223

Interoperability endpoints

  • Direct secure messaging: colleen.hanesian.1@2915.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1760905640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAMP ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMP ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013063",
            "telephone_number": "508-775-1984",
            "fax_number": "508-790-1897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-856-5599",
            "fax_number": "508-856-8329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANESIAN",
        "first_name": "COLLEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2259205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.