Active NPI
Chalice Santorelli, NP
- Adult Health Nurse Practitioner
- Southampton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 267935
- Practice address
- 6 Parc PL
Southampton, MA 01073-9277 - Phone
- (413) 582-4740
- NPI assigned
- Mar 4, 2008
- Last updated
- Jan 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 267935 | MA | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 267935 | MA |
Addresses
Primary practice location
6 Parc PL
Southampton, MA 01073-9277
Mailing address
30 Locust St
PO Box 911
Northampton, MA 01060-2052
Phone (413) 582-4740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0720968 | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 Denniston PL
Womens Health
Northampton, MA 01060-2052
Phone (413) 586-9866
22 Atwood Dr
Northampton, MA 01060-4267
30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2441
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267935 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Western Massachusetts Inc | Current | Accepting new patients | |
| Southampton Pediatrics, LLC | Past | Accepting new patients | |
| Mass General Brigham Medical Group Western Massachusetts Inc | Past | Accepting new patients |
Locations
30 Locust St
Northampton, MA 01060
Phone (413) 582-2000
Interoperability endpoints
- santorelli.chalice.cdh@direct.partners.masshiway.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Northampton, MA
- NPI 1295787919
-
dba Cooley Dickinson Medical Group
- Psychiatry Physician
- Northampton, MA
- NPI 1942605373
-
- Pediatrics Physician
- Southampton, MA
- NPI 1396876199
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baystate Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
dba Baystate Reference Laboratories
- Clinical Medical Laboratory
- Springfield, MA
- NPI 1568488450
Hospital
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
-
- Home Health Agency
- Northampton, MA
- NPI 1134196439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1972773117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 LOCUST ST",
"address_2": "PO BOX 911",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602052",
"telephone_number": "413-582-4740",
"fax_number": "413-582-2958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PARC PL",
"city": "SOUTHAMPTON",
"state": "MA",
"postal_code": "010739277",
"telephone_number": "413-582-4740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTORELLI",
"first_name": "CHALICE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-04",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "267935",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MA",
"license": "267935",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0720968",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.