Individual provider Active NPI

Massiel Reyes, FNP-BC

  • Family Nurse Practitioner
  • Salem, MA
National Provider Identifier
1801449863
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2287325 Issued in MA
Practice address
47 Congress St
Salem, MA 01970-7308
Phone
(978) 744-8388
NPI assigned
Jul 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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 RN2287325 MA Primary

Addresses

Primary practice location

47 Congress St
Salem, MA 01970-7308

Mailing address

15 Charlotte St
Peabody, MA 01960-6053
Phone (978) 907-3319

Other identifiers 1

IdentifierTypeStateIssuer
110157358AMedicaidMA

Other names 1

  • Massiel Santiago Former name

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
I20191211000449 MA Practitioner - Nurse Practitioner 7416380183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eliot Community Human ServicesGroup PAC ID 2062488000, 82 clinicians

Practice addresses (Care Compare)

173 Chelsea St
Everett, MA 02149-4632
Phone (781) 388-6200

18 Graf Rd
Unit 13
Newburyport, MA 01950-4031
Phone (978) 518-9759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eliot Community Human Services Current Accepting new patients
Eliot Community Human Services CurrentSince Jan 9, 2023 Accepting new patients
Healing Through Psychiatry LLC CurrentSince Sep 5, 2024 Accepting new patients

Locations

173 Chelsea St
Everett, MA 02149
Phone (617) 397-2020

125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060

18 Graf Rd
Unit 13
Newburyport, MA 01950
Phone (978) 518-9759

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.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1801449863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CHARLOTTE ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019606053",
            "telephone_number": "978-907-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CONGRESS ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019707308",
            "telephone_number": "978-744-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "MASSIEL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2287325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110157358A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MASSIEL",
            "last_name": "SANTIAGO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.