Active NPI
Denise M Iacoviello
- Family Nurse Practitioner
- Melrose, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN194965
- Practice address
- 585 Lebanon St
Melrose, MA 02176-3225 - Phone
- (781) 979-3200
- NPI assigned
- Oct 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN194965 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN194965 | MA | Primary |
Addresses
Primary practice location
585 Lebanon St
Melrose, MA 02176-3225
Mailing address
411 Salem St
Lynnfield, MA 01940-2329
Phone (781) 593-6814
Other practice location 1
55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-8575
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN194965 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Lahey Health Specialty Care, Inc. | Current | Accepting new patients | |
| Winchester Physician Associates, Inc | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| Beth Israel Lahey Health Specialty Care, Inc. | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Pratt Orthopaedic Associates, Inc | Current | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
20 Guest St
Ste 225
Brighton, MA 02135
Phone (617) 586-1900
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
195 School St
Manchester by the Sea, MA 01944
Phone (978) 526-4311
585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026
15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381
41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000
Interoperability endpoints
- diacoviello94637@direct.bilh.masshiway.net
- diacoviello86286@tuftsmedicine.direct-ci.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Gloucester, MA
- NPI 1235147760
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- Orthopaedic Surgery Physician
- Boston, MA
- NPI 1528107380
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Internal Medicine Physician
- Winchester, MA
- NPI 1184606865
-
- Urology Physician
- Burlington, MA
- NPI 1427161660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1912379710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 SALEM ST",
"city": "LYNNFIELD",
"state": "MA",
"postal_code": "019402329",
"telephone_number": "781-593-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 LEBANON ST",
"city": "MELROSE",
"state": "MA",
"postal_code": "021763225",
"telephone_number": "781-979-3200"
}
],
"practiceLocations": [
{
"address_1": "55 Fruit St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142621",
"country_code": "US",
"telephone_number": "617-726-8575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IACOVIELLO",
"first_name": "DENISE",
"middle_name": "M",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN194965",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN194965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melrose, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.