Individual provider Active NPI

Alyssa Minasian, APRN

  • Family Nurse Practitioner
  • Danvers, MA
National Provider Identifier
1881387744
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2378775 Issued in MA
Practice address
75 Lindall St
Danvers, MA 01923-2121
Phone
(978) 767-2847
NPI assigned
May 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2378775 MA Primary

Addresses

Primary practice location

75 Lindall St
Danvers, MA 01923-2121

Mailing address

75 Lindall St
Danvers, MA 01923-2121
Phone (978) 767-2847

Other practice location 1

362 Middlesex Ave
Wilmington, MA 01887-2127
Phone (978) 737-7937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2378775MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Detox Centers Inc CurrentSince Jan 1, 2025 Accepting new patients
HKD Outreach PC CurrentSince Feb 10, 2025 Accepting new patients
Algo Health LTD CurrentSince Feb 1, 2026 Accepting new patients

Locations

1192 Blue Hill Ave
Mattapan, MA 02126
Phone (518) 441-6830

362 Middlesex Ave
Wilmington, MA 01887
Phone (978) 737-7937

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1881387744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 LINDALL ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232121",
            "telephone_number": "978-767-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 LINDALL ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232121",
            "telephone_number": "978-767-2847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "362 Middlesex Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "MA",
            "postal_code": "018872127",
            "country_code": "US",
            "telephone_number": "978-737-7937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINASIAN",
        "first_name": "ALYSSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2378775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.