Individual provider Active NPI

Alyssa Vogel, MSN, FNP-C

  • Family Nurse Practitioner
  • W Bridgewater, MA
National Provider Identifier
1962010405
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2293678 Issued in MA
Practice address
321 Manley St
W Bridgewater, MA 02379-1022
Phone
(781) 341-4145
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2293678 MA Primary
Medical-Surgical Registered Nurse 163WM0705X RN2293678 MA

Addresses

Primary practice location

321 Manley St
W Bridgewater, MA 02379-1022

Mailing address

321 Manley St
West Bridgewater, MA 02379-1022
Phone (508) 930-8574

Other names 1

  • Alyssa Hennigan Former name

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
I20230508000903 MA Practitioner - Nurse Practitioner 4082079405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Old Colony Hospice IncGroup PAC ID 4587611199, 5 clinicians

Practice addresses (Care Compare)

321 Manley St
West Bridgewater, MA 02379-1022
Phone (781) 341-4145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2293678MAMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Old Colony Hospice Inc Family CurrentSince May 7, 2023 Accepting new patients
Old Colony Hospice Inc. CurrentSince Jan 10, 2023 Accepting new patients

Locations

1 Credit Union Way
Randolph, MA 02368
Phone (781) 341-4145

321 Manley St
West Bridgewater, MA 02379
Phone (781) 341-4145

Organizations & group practices 2

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": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1962010405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MANLEY ST",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791022",
            "telephone_number": "508-930-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MANLEY ST",
            "city": "W BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791022",
            "telephone_number": "781-341-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "ALYSSA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2023-05-03",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2293678",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MA",
            "license": "RN2293678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "HENNIGAN",
            "credential": "MSN,FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in W Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.