Cornelius Bela
Individual provider Active NPI Adult Health Nurse Practitioner · Salem, MA
NPI 1962912964 · NPPES record last updated Oct 4, 2017
Key facts
- NPI
- 1962912964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- RN2263012 (MA)
- Practice address
- 5 Gables Cir
Salem, MA 01970-1217 - Phone
- (781) 267-0360
- Fax
- (781) 267-0360
- NPI assigned
- Oct 4, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Eliot Community Human Services
Vantage Healthcare LLC
Practice addresses (Care Compare)
173 Chelsea St
Everett, MA 02149-4632
Phone (781) 388-6200
45 Dan Rd
Canton, MA 02021-2852
Phone (781) 867-2050
Hospital & facility affiliations
- Northeast Hospital Corporation
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180123000903 | MA | Practitioner - Nurse Practitioner | 2062771942 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2263012 | MA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eliot Community Human Services | Current |
Accepting new patients | |
| Vantage Healthcare LLC | Current |
Accepting new patients | |
| Eliot Community Human Services | Current |
Accepting new patients |
Locations
95 Commercial St
Braintree, MA 02184
Phone (781) 848-0596
45 Dan Rd
Canton, MA 02021
Phone (781) 318-3609
86 Baker Avenue Ext
Ste 100
Concord, MA 01742
Phone (978) 202-4156
111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200
173 Chelsea St
Everett, MA 02149
Phone (617) 397-2020
125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | RN2263012 | MA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN2263012 | MA | Yes |
Addresses
Primary practice location
5 Gables Cir
Salem, MA 01970-1217
Mailing address
5 Gables Cir
Salem, MA 01970-1217
Phone (781) 267-0360
Other providers in Salem, MA
- Richard Andrew Beare
- Molly Becker
- Bruce A Beckwith
- Leanne Beedle
- Leah Beidler
- Jenai E Beland Cohen
- Carmen Belasco
- Akilah A Bell
- Christina Leigh Bell
- Bella Health
All providers in Salem, MA · Adult Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.