Individual provider Active NPI

Michelle Ann Ricupero, NP

  • Adult Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1801156658
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN260936 Issued in MA
Practice address
332 Hanover St
Boston, MA 02113-1901
Phone
(617) 643-8000
NPI assigned
May 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN260936 MA Primary
Nurse Practitioner 363L00000X RN260936 MA

Addresses

Primary practice location

332 Hanover St
Boston, MA 02113-1901

Mailing address

10 Blue Sky Dr
Hingham, MA 02043-3007

Other practice location 1

801 Massachusetts Ave Ste 5B
Ste 5B Crosstown Bldg
Boston, MA 02118-2605
Phone (617) 414-5951

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
I20160906001359 MA Practitioner - Nurse Practitioner 9032405790 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 Linden Ponds Way
Hingham, MA 02043-3791

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN260936MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson Health Medical Group of Massachusetts PC Adult Health CurrentSince Sep 12, 2022 Accepting new patients
Norwell Visiting Nurse Association Inc CurrentSince Jan 7, 2019 Accepting new patients
North End Community Health Committee Inc CurrentSince Jun 15, 2016 Accepting new patients
The General Hospital Corporation CurrentSince Jun 15, 2016 Accepting new patients
Erickson Health Medical Group of Massachusetts PC CurrentSince Sep 12, 2022 Accepting new patients
Norwell Visiting Nurse Association, Inc Past Accepting new patients

Locations

332 Hanover St
Boston, MA 02113
Phone (617) 643-8000

55 Fruit St
Boston, MA 02114

300 Linden Ponds Way
Hingham, MA 02043
Phone (781) 534-7100

120 Longwater Dr
Ste 200
Norwell, MA 02061
Phone (781) 659-2342

120 Longwater Dr
Norwell, MA 02061
Phone (781) 659-2342

100 Brooksby Village Dr
Peabody, MA 01960
Phone (978) 536-2150

5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379

Organizations & group practices 6

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 1

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": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1801156658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BLUE SKY DR",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 HANOVER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021131901",
            "telephone_number": "617-643-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Massachusetts Ave Ste 5B",
            "address_2": "Ste 5B Crosstown Bldg",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182605",
            "country_code": "US",
            "telephone_number": "617-414-5951",
            "fax_number": "617-414-9201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICUPERO",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN260936",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN260936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.