Susan Andrea, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

149570 Issued in MA

Practice address

111 Torrey St
Suite a
Brockton, MA 02301-4800

Phone

(508) 588-1200

Fax

(508) 941-0497

NPI assigned

Dec 11, 2006

Last updated

Nov 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bethel Medical Group PCGroup PAC ID 4688576721, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/111/brand/1/csg/1/fhir/r4
• Direct secure messaging: susan.andrea.1@111.direct.athenahealth.com

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.

• Bethel Medical Group PC

  • Family Medicine Physician
  • Brockton, MA
  • NPI 1861607558
  Medicare reassignment Care Compare group NPD
• Jordan Physician Associates, Inc.

  dba BIDH-Plymouth Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Plymouth, MA
  • NPI 1194263186
  NPD (past)
• Jordan Physician Associates, Inc.

  • Family Medicine Physician
  • Plymouth, MA
  • NPI 1538145131
  NPD (past)
• PMG Physician Associates, P.C.

  • Family Medicine Physician
  • Plymouth, MA
  • NPI 1871653865
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boston Medical Center - South Corporation

  dba Boston Medical Center - South

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1871329110
  Care Compare affiliation

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1902966039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TORREY ST",
            "address_2": "SUITE A",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014800",
            "telephone_number": "508-588-1200",
            "fax_number": "508-941-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TORREY ST",
            "address_2": "SUITE A",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014800",
            "telephone_number": "508-588-1200",
            "fax_number": "508-941-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREA",
        "first_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "149570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0712604",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosalia Andrade
• Unique Andrade, LPN
• Zaias Andrade
• Jeovany M Andre
• Lindsay Andre, MS, LADC1
• Thomas Andrea
• India Andrews, LMHC
• Abigail Andrus, MSW
• Anesthetics of Brockton, PC
• Anew Life LLC

• Family Nurse Practitioner in Brockton, MA
• Providers in Brockton, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.