Individual provider Active NPI

Mikayla Ardizzoni

  • Psychiatric/Mental Health Nurse Practitioner
  • Brimfield, MA
National Provider Identifier
1962398289
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2335581 Issued in MA
Practice address
157 Paige Hill Rd
Brimfield, MA 01010-9779
Phone
(413) 343-4175
NPI assigned
Jun 13, 2025
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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 Nurse Practitioner 363LP0808X RN2335581 MA Primary

Addresses

Primary practice location

157 Paige Hill Rd
Brimfield, MA 01010-9779

Mailing address

159 Paige Hill Rd
Brimfield, MA 01010-9779
Phone (413) 343-4175

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
I20250814003986 MA Practitioner - Nurse Practitioner 3173022407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hometown Mental Health Services, PLLCGroup PAC ID 6002255072, 7 clinicians

Practice addresses (Care Compare)

157 Paige Hill Rd
Brimfield, MA 01010-9779
Phone (413) 343-4175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2335581MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Mental Health Services, PLLC Psychiatric/Mental Health CurrentSince Jul 7, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1962398289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 PAIGE HILL RD",
            "city": "BRIMFIELD",
            "state": "MA",
            "postal_code": "010109779",
            "telephone_number": "413-343-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 PAIGE HILL RD",
            "city": "BRIMFIELD",
            "state": "MA",
            "postal_code": "010109779",
            "telephone_number": "413-343-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDIZZONI",
        "first_name": "MIKAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2335581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brimfield, MA

Sources for this page

Verify at the official NPI Registry.