Individual provider Active NPI

Diane Assunta Pascucci, R.N.,M.S.,C.S.,M.ED.

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Bedford, MA
National Provider Identifier
1952448813
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
115136 Issued in MA
Practice address
27 Elmbrook Rd
Bedford, MA 01730-1846
Phone
(781) 275-2830
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 115136 MA Primary

Addresses

Primary practice location

27 Elmbrook Rd
Bedford, MA 01730-1846

Mailing address

27 Elmbrook Rd
Bedford, MA 01730-1846
Phone (781) 275-2830

Other identifiers 3

IdentifierTypeStateIssuer
004017701OtherMAAMERICAN NURSES CRED CTR
115136OtherMARN LICENSE
PN0206OtherMABCBS MASSACHUSETTS

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
I20170731002338 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 1557318417 Practice locations: Bedford, MA

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

165 Middlesex Tpke
Bedford, MA 01730-1424
Phone (781) 275-2830

41 N Rd
Suite 100
Bedford, MA 01730-1037
Phone (781) 275-2830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
115136MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952448813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ELMBROOK RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301846",
            "telephone_number": "781-275-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ELMBROOK RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301846",
            "telephone_number": "781-275-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUCCI",
        "first_name": "DIANE",
        "middle_name": "ASSUNTA",
        "name_prefix": "Ms.",
        "credential": "R.N.,M.S.,C.S.,M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MA",
            "license": "115136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CRED CTR",
            "identifier": "004017701",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "115136",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MASSACHUSETTS",
            "identifier": "PN0206",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

Verify at the official NPI Registry.