Individual provider Active NPI

Erin C Van Der Veer, NP

  • Family Nurse Practitioner
  • Mansfield, MA
National Provider Identifier
1801165113
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2258701 Issued in MA
Practice address
205 Chauncy St
Mansfield, MA 02048-1202
Phone
(508) 339-7434
Fax
(508) 339-5837
NPI assigned
Dec 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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 RN2258701 MA Primary

Addresses

Primary practice location

205 Chauncy St
Mansfield, MA 02048-1202

Mailing address

205 Chauncy St
Mansfield, MA 02048-1202
Phone (508) 339-7434

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
I20120711000300 MA Practitioner - Nurse Practitioner 4183889413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

41 State Rd
Dartmouth, MA 02747-3319
Phone (508) 992-6278

Hospital & facility affiliations

  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Nurse, Inc. CurrentSince Jul 15, 2016 Accepting new patients
McBrine & Vasconcellos MD PC Past Accepting new patients
Paula a. McBrine, M.D., P.C. PastSince Aug 1, 2011 Accepting new patients

Locations

62 Center St
Fairhaven, MA 02719
Phone (508) 992-6278

41 State Rd
North Dartmouth, MA 02747
Phone (508) 990-1217

Organizations & group practices 3

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": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1801165113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CHAUNCY ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481202",
            "telephone_number": "508-339-7434",
            "fax_number": "508-339-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CHAUNCY ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481202",
            "telephone_number": "508-339-7434",
            "fax_number": "508-339-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER VEER",
        "first_name": "ERIN",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2258701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

Verify at the official NPI Registry.