Individual provider Active NPI

Nikoletta Tarkan, NP

  • Family Nurse Practitioner
  • Newburyport, MA
National Provider Identifier
1811954605
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN263231 Issued in MA
Practice address
260 Merrimac St
Newburyport, MA 01950-2192
Phone
(978) 499-7200
Fax
(978) 499-7216
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN263231 MA Primary
Primary Care Nurse Practitioner 363LP2300X 099541-23 NH

Addresses

Primary practice location

260 Merrimac St
Newburyport, MA 01950-2192

Mailing address

260 Merrimac St
Newburyport, MA 01950-2192
Phone (978) 499-7200

Other practice location 1

100 Shattuck Way Ste 100
Newington, NH 03801-8007
Phone (603) 431-6677

Other identifiers 1

IdentifierTypeStateIssuer
1376782276OtherMABCBS OF MASSACHUSETTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071008000405 MA Practitioner - Nurse Practitioner 8820094428
I20250528001714 NH Practitioner - Family Practice 8820094428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Whole Life Health Care PAGroup PAC ID 6204859135, 9 clinicians

Practice addresses (Care Compare)

100 Shattuck Way
Suite 100
Newington, NH 03801-8007
Phone (603) 431-6677

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN263231MAMDFamily Nurse Practitioner
099541-23NHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Life Health Care, PA Family CurrentSince May 12, 2025 Accepting new patients
Gaia Women's Wellness Past Accepting new patients
Longfellow Primary Care, PC PastSince May 9, 2011 Accepting new patients

Locations

100 Shattuck Way
Ste 100
Portsmouth, NH 03801
Phone (603) 347-8810

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9362/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nikoletta.tarkan.1@3764.direct.athenahealth.com
  • Direct secure messaging: nikoletta.tarkan.1@9362.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1811954605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MERRIMAC ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502192",
            "telephone_number": "978-499-7200",
            "fax_number": "978-499-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MERRIMAC ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502192",
            "telephone_number": "978-499-7200",
            "fax_number": "978-499-7216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Shattuck Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "NH",
            "postal_code": "038018007",
            "country_code": "US",
            "telephone_number": "603-431-6677",
            "fax_number": "603-610-7713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARKAN",
        "first_name": "NIKOLETTA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN263231",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NH",
            "license": "099541-23",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASSACHUSETTS",
            "identifier": "1376782276",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.