Individual provider Active NPI

Alexa-Rae Carpinelli, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Acton, MA
National Provider Identifier
1811514052
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2289530 Issued in MA
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

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
020860MedicaidMA

Other names 1

  • Alexa-Rae Fabiano Former name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2289530MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New England Center for Mental Health LLC CurrentSince May 1, 2021 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Sep 13, 2021 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Sep 13, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.