Individual provider Active NPI

Sholeen T Nett, MD/PHD

  • Pediatric Critical Care Medicine Physician
  • Springfield, MA
National Provider Identifier
1851402663
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
12313 Issued in NH
Practice address
Baystate Children's Hospital 759 Chestnut Street
Springfield, MA 01199-1000
Phone
(413) 794-0000
NPI assigned
Aug 31, 2006
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 12313 NH
Pediatric Critical Care Medicine Physician 2080P0203X 231403 MA
Pediatric Critical Care Medicine Physician 2080P0203X 12313 NH Primary

Addresses

Primary practice location

Baystate Children's Hospital 759 Chestnut Street
Springfield, MA 01199-1000

Mailing address

10 Hollenbeck LN
Hanover, NH 03755-3112
Phone (603) 277-9380

Other practice location 1

282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9850

Other practice location 2

1 Medical Center Dr
DHMC Department of Pediatric Critical Care
Lebanon, NH 03756-1000
Phone (603) 650-6099

Other practice location 3

55 Lake Ave N
Worcester, MA 01655-0002
Phone (774) 442-2164

Other identifiers 3

IdentifierTypeStateIssuer
3072579MedicaidNH
1010843MedicaidVT
110075815AMedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address snett83393@connecticutchildrens.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA, CT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040916000642 NH Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 7113994237 Reassigns benefits to 1 organization
I20070810000722 MA Practitioner - Pediatric Medicine 7113994237 Reassigns benefits to 3 organizations
I20230222002485 CT Practitioner - Pediatric Medicine 7113994237 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
231403MAMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Pediatric Associates, Inc Pediatrics CurrentSince Mar 1, 2020 Accepting new patients
Baystate Medical Practices, Inc Pediatrics CurrentSince May 21, 2019 Accepting new patients
Dartmouth-Hitchcock Clinic Pediatrics CurrentSince May 4, 2010 Accepting new patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince Feb 16, 2023 Accepting new patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince Feb 16, 2023 Accepting new patients
Umass Memorial Medical Group Inc Pediatrics CurrentSince Oct 9, 2024 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 9, 2024 Accepting new patients

Locations

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

Interoperability endpoints

  • Direct secure messaging: snett15286@direct.dartmouth-hitchcock.org
  • Direct secure messaging: snett49547@direct.southcoast.org
  • Direct secure messaging: snett83393@connecticutchildrens.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1851402663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HOLLENBECK LN",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037553112",
            "telephone_number": "603-277-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYSTATE CHILDREN'S HOSPITAL 759 CHESTNUT STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991000",
            "telephone_number": "413-794-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282 Washington St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061063322",
            "country_code": "US",
            "telephone_number": "860-545-9850",
            "fax_number": "860-545-8812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_2": "DHMC Department of Pediatric Critical Care",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-650-6099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "774-442-2164",
            "fax_number": "774-443-2062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NETT",
        "first_name": "SHOLEEN",
        "middle_name": "T",
        "credential": "MD/PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "12313",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "MA",
            "license": "231403",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NH",
            "license": "12313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072579",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010843",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110075815A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snett83393@connecticutchildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "282 Washington St",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061063322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "55 Lake Ave N",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016550002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.