Individual provider Active NPI

Nancy Merisali

  • Psychiatric/Mental Health Nurse Practitioner
  • Holyoke, MA
National Provider Identifier
1851060552
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2306546 Issued in MA
Practice address
1233 Main St
Holyoke, MA 01040-5381
Phone
(413) 701-2600
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2306546 MA Primary

Addresses

Primary practice location

1233 Main St
Holyoke, MA 01040-5381

Mailing address

1233 Main St
Holyoke, MA 01040-5381

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
I20221025000687 MA Practitioner - Nurse Practitioner 1759757206 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Capital JV, LLC CurrentSince Jul 5, 2022 Accepting new patients
Uhs of Westwood Pembroke Inc CurrentSince May 6, 2024 Accepting new patients

Locations

1233 Main St
Holyoke, MA 01040
Phone (413) 264-0819

199 Oak St
Pembroke, MA 02359
Phone (781) 829-7000

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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1851060552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 MAIN ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 MAIN ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405381",
            "telephone_number": "413-701-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERISALI",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2306546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.