Individual provider Active NPI

Alfride Prevost-Ricardo, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Leominster, MA
National Provider Identifier
1962697961
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN/NP276156 Issued in MA
Practice address
40 Spruce St
Leominster, MA 01453-3233
Phone
(978) 534-6116
Fax
(978) 534-3294
NPI assigned
Sep 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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 RN/NP276156 MA Primary

Addresses

Primary practice location

40 Spruce St
Leominster, MA 01453-3233

Mailing address

72 Jaques Ave
Worcester, MA 01610-2476
Phone (508) 860-1000

Other identifiers 1

IdentifierTypeStateIssuer
1301071OtherMAGROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131204000010 MA Practitioner - Nurse Practitioner 3870729403 Reassigns benefits to 1 organization
I20190116000105 FL Practitioner - Nurse Practitioner 3870729403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocates, Inc.Group PAC ID 9830404045, 111 clinicians

Practice addresses (Care Compare)

354 Waverley St
FL 2
Framingham, MA 01702-7079
Phone (508) 661-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
66.41 of 100Reported as group
Quality
68
Promoting interoperability
0
Improvement activities
40
Cost
81.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN/NP276156MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David Lawrence Mental Health Center, Inc CurrentSince Dec 1, 2018 Accepting new patients
Advocates, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Advocates, Inc CurrentSince Apr 1, 2022 Accepting new patients

Locations

6075 Bathey Ln
Naples, FL 34116
Phone (239) 455-8500

354 Waverley St
Fl 2
Framingham, MA 01702
Phone (440) 223-3654

1094 Worcester Rd
Framingham, MA 01702
Phone (508) 665-4344

1881 Worcester Rd
Framingham, MA 01701

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1962697961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 JAQUES AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102476",
            "telephone_number": "508-860-1000",
            "fax_number": "508-752-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SPRUCE ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533233",
            "telephone_number": "978-534-6116",
            "fax_number": "978-534-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVOST-RICARDO",
        "first_name": "ALFRIDE",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN/NP276156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP #",
            "identifier": "1301071",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.