Mikaela Andrea Lavallee

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

2272300 Issued in MA

Practice address

415 Boston Tpke Ste 105
Shrewsbury, MA 01545-3414

Phone

(508) 845-8200

NPI assigned

Apr 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

University of Massachusetts Medical School, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Raymond Zhou MD PCGroup PAC ID 6709927551, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Raymond Zhou MD PC

  • Internal Medicine Physician
  • Shrewsbury, MA
  • NPI 1831268820
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1770970790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 QUAKER HWY",
            "city": "UXBRIDGE",
            "state": "MA",
            "postal_code": "015691629",
            "telephone_number": "508-887-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BOSTON TPKE STE 105",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453414",
            "telephone_number": "508-845-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1681 Cranston St",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029205000",
            "country_code": "US",
            "telephone_number": "401-946-8446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVALLEE",
        "first_name": "MIKAELA",
        "middle_name": "ANDREA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "2272300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa T Lamoureux, DO
• Maryanne Lane, DPT
• Leigh Blythe Lanzoni, PHARMD
• Diana Rehnuma Lasker
• Denise M. Lavallee, LICSW
• Pavel Lavitas, PHARM.D.
• Lisa Marie Lawrence, MS,CCC-SLP
• Anh Le
• Denis Michael Leary
• Michelle Leckey

• Primary Care Nurse Practitioner in Shrewsbury, MA
• Providers in Shrewsbury, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.

Verify at the official NPI Registry.