Organization Active NPI

Innerrise Psychiatric Services and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Walpole, MA
National Provider Identifier
1790647956
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INNERRISE PSYCHIATRIC SERVICES AND WELLNESS
Practice address
841 Main St Ste 1B
Walpole, MA 02081-2997
Phone
(508) 503-6807
NPI assigned
Nov 25, 2025
Last updated
Jan 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Moise Rene, APRNNPI 1528769551
Title
Nurse Practitioner-Psychiatry
Phone
(508) 503-6807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

841 Main St Ste 1B
Walpole, MA 02081-2997

Mailing address

841 Main St Ste 1B
Walpole, MA 02081-2997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260318001264 MA Part B Supplier - Clinic/Group Practice 2769966779 Receives reassigned benefits from 4 practitioners
Practice locations: Walpole, MA

National Provider Directory

National Provider Directory

Locations

841 Main St
Ste 1B
Walpole, MA 02081
Phone (508) 503-6807

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1790647956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 MAIN ST STE 1B",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 MAIN ST STE 1B",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812997",
            "telephone_number": "508-503-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERRISE PSYCHIATRIC SERVICES AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "RENE",
        "authorized_official_first_name": "MOISE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER-PSYCHIATRY",
        "authorized_official_telephone_number": "508-503-6807",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.