Individual provider Active NPI

Raquel Erica Chadwick, RN, MS, WHNP-BC

  • Obstetrics & Gynecology Nurse Practitioner
  • North Chelmsford, MA
National Provider Identifier
1821404872
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RN2266761 Issued in MA
Practice address
20 Research PL
Suite 320
North Chelmsford, MA 01863-2454
Phone
(978) 256-1858
Fax
(978) 788-7890
NPI assigned
Jul 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN2266761 MA Primary

Addresses

Primary practice location

20 Research PL
Suite 320
North Chelmsford, MA 01863-2454

Mailing address

20 Research PL
Suite 320
North Chelmsford, MA 01863-2454
Phone (978) 256-1858

Other names 1

  • Ms. Raquel Erica Sully 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
I20160211000318 MA Practitioner - Nurse Practitioner 0749584779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Circle Health OBGYN, LLC.Group PAC ID 1052483476, 18 clinicians

Practice addresses (Care Compare)

20 Research PL
Suite 320
North Chelmsford, MA 01863-2455
Phone (978) 256-1858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Health OBGYN, LLC. CurrentSince Nov 16, 2015 Accepting new patients
LGH Womanhealth PastSince Nov 16, 2015 Accepting new patients

Locations

9 Loon Hill Rd
Ste 201
Dracut, MA 01826
Phone (978) 452-2121

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

20 Research Pl
Ste 320
North Chelmsford, MA 01863
Phone (978) 256-1858

198 Littleton Rd
Ste 201
Westford, MA 01886

Interoperability endpoints

  • Direct secure messaging: rsully26850@tuftsmedicine.direct-ci.com

Organizations & group practices 2

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1821404872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL",
            "address_2": "SUITE 320",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632454",
            "telephone_number": "978-256-1858",
            "fax_number": "978-788-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL",
            "address_2": "SUITE 320",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632454",
            "telephone_number": "978-256-1858",
            "fax_number": "978-788-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "RAQUEL",
        "middle_name": "ERICA",
        "name_prefix": "Mrs.",
        "credential": "RN, MS, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MA",
            "license": "RN2266761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAQUEL",
            "last_name": "SULLY",
            "middle_name": "ERICA",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.