Individual provider Active NPI

Carol W Karuci, PMHNP-BC, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Acton, MA
National Provider Identifier
1861087942
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2304790 Issued in MA
Practice address
289 Great Rd Ste G1
Acton, MA 01720-4766
Phone
(978) 679-1200
Fax
(978) 486-4037
NPI assigned
Mar 1, 2021
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2304790 MA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN2304790 MA

Addresses

Primary practice location

289 Great Rd Ste G1
Acton, MA 01720-4766

Mailing address

289 Great Rd Ste G1
Acton, MA 01720-4766
Phone (978) 679-1200

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
I20220414001240 MA Practitioner - Nurse Practitioner 9133515331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New England Center for Mental Health LLCGroup PAC ID 7315126554, 12 clinicians

Practice addresses (Care Compare)

289 Great Rd
Suite G1
Acton, MA 01720-4766
Phone (978) 679-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2304790MAMDPsychiatric/Mental Health Registered Nurse
2304790MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seen N Heard Center for Mindful Wellbeing LLC Psychiatric/Mental Health Current Accepting new patients
New England Center for Mental Health LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

289 Great Rd
Ste G1
Acton, MA 01720
Phone (978) 679-1200

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, 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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1861087942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 GREAT RD STE G1",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204766",
            "telephone_number": "978-679-1200",
            "fax_number": "978-486-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 GREAT RD STE G1",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204766",
            "telephone_number": "978-679-1200",
            "fax_number": "978-486-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARUCI",
        "first_name": "CAROL",
        "middle_name": "W",
        "credential": "PMHNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-10-20",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2304790",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2304790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

Verify at the official NPI Registry.