Active NPI
Alexa-Rae Carpinelli, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Acton, MA
National Provider Identifier
1811514052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2289530
- Practice address
- 289 Great Rd # G1
Acton, MA 01720-4766 - Phone
- (978) 679-1200
- Fax
- (978) 486-4037
- NPI assigned
- Jul 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2289530 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2289530 | MA | Primary |
Addresses
Primary practice location
289 Great Rd # G1
Acton, MA 01720-4766
Mailing address
13 Heath Rd
Peabody, MA 01960-1010
Phone (978) 210-9474
Other practice location 1
13 Heath Rd
Peabody, MA 01960-1010
Phone (978) 210-9474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020860 | Medicaid | MA |
Other names 1
- Alexa-Rae Fabiano
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2289530 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Center for Mental Health LLC | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current | Accepting new patients |
Locations
289 Great Rd
Ste G1
Acton, MA 01720
Phone (978) 679-1200
365 East St
Tewksbury, MA 01876
Phone (617) 536-2186
Interoperability endpoints
- acarpinelli47211@tuftsmedicine.direct-ci.com
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.
-
- Mental Health Counselor
- Acton, MA
- NPI 1346560083
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1427111574
-
- Long Term Care Hospital
- Tewksbury, MA
- NPI 1871680496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1811514052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 HEATH RD",
"city": "PEABODY",
"state": "MA",
"postal_code": "019601010",
"telephone_number": "978-210-9474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 GREAT RD # G1",
"city": "ACTON",
"state": "MA",
"postal_code": "017204766",
"telephone_number": "978-679-1200",
"fax_number": "978-486-4037"
}
],
"practiceLocations": [
{
"address_1": "13 Heath Rd",
"address_purpose": "LOCATION",
"city": "Peabody",
"state": "MA",
"postal_code": "019601010",
"country_code": "US",
"telephone_number": "978-210-9474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARPINELLI",
"first_name": "ALEXA-RAE",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-04",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2289530",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "2289530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020860",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXA-RAE",
"last_name": "FABIANO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Acton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.