Individual provider Active NPI

Denise M Iacoviello

  • Family Nurse Practitioner
  • Melrose, MA
National Provider Identifier
1912379710
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN194965 Issued in MA
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

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170329000015 MA Practitioner - Nurse Practitioner 4486939733 Reassigns benefits to 5 organizations

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

LicenseStateTypeSpecialty
RN194965MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Feb 28, 2025 Accepting new patients
Winchester Physician Associates, Inc CurrentSince Oct 15, 2019 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Mar 19, 2023 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Feb 28, 2025 Accepting new patients
The General Hospital Corporation CurrentSince Mar 19, 2023 Accepting new patients
Pratt Orthopaedic Associates, Inc CurrentSince Apr 10, 2023 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

  • Direct secure messaging: diacoviello94637@direct.bilh.masshiway.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.