Individual provider Active NPI

Martha Jane Haverly, MSN, APRN-BC, WHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1942476445
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN167151 Issued in MA
Practice address
259 North St Ste 1a
Hyannis, MA 02601-3834
Phone
(508) 568-9311
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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 167151 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN167151 MA Primary

Addresses

Primary practice location

259 North St Ste 1a
Hyannis, MA 02601-3834

Mailing address

235 Ocallaghan Way
Lynn, MA 01905
Phone (781) 592-8675

Other practice location 1

235 OCallaghan Way
Lynn, MA 01905
Phone (781) 592-8675

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
I20140106000610 MA Practitioner - Nurse Practitioner 0446488076 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

310 Barnstable Rd
Suite 201
Hyannis, MA 02601-2902
Phone (508) 862-0514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
167151MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Apr 2, 2022 Accepting new patients
Physicians of Falmouth Hospital Nurse Practitioner CurrentSince Mar 1, 2020 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Jan 13, 2018 Accepting new patients
Lynn Community Health, Inc. Past Accepting new patients

Locations

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1942476445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 OCALLAGHAN WAY",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01905",
            "telephone_number": "781-592-8675",
            "fax_number": "781-592-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 NORTH ST STE 1A",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013834",
            "telephone_number": "508-568-9311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 OCallaghan Way",
            "address_purpose": "LOCATION",
            "city": "Lynn",
            "state": "MA",
            "postal_code": "01905",
            "country_code": "US",
            "telephone_number": "781-592-8675",
            "fax_number": "781-592-8695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAVERLY",
        "first_name": "MARTHA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN-BC, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "167151",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN167151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.