Individual provider Active NPI

Nikki Therese Scarantino, CNP

  • Family Nurse Practitioner
  • Danvers, MA
National Provider Identifier
1982471629
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2373360 Issued in MA
Practice address
480 Maple St Ste 203
Danvers, MA 01923-4065
Phone
(978) 304-8601
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2373360 MA Primary

Addresses

Primary practice location

480 Maple St Ste 203
Danvers, MA 01923-4065

Mailing address

123 Johnson St
Pittston, PA 18640-1009

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
I20240117002625 MA Practitioner - Nurse Practitioner 0547612343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Management Centers of New England LLCGroup PAC ID 5597982165, 3 clinicians
Pain Modulation Associates PLLCGroup PAC ID 4183992134, 4 clinicians

Practice addresses (Care Compare)

21 Highland Ave
Suite 16
Newburyport, MA 01950-3873
Phone (978) 992-4580

480 Maple St
Danvers, MA 01923-4065
Phone (978) 304-8601

Hospital & facility affiliations

  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Centers of New England, LLC CurrentSince Feb 9, 2024 Accepting new patients

Locations

480 Maple St
Ste C233A
Danvers, MA 01923
Phone (978) 304-8690

480 Maple St
Ste 203
Danvers, MA 01923
Phone (978) 304-8601

21 Highland Ave
Newburyport, MA 01950
Phone (978) 462-7555

21 Highland Ave
Ste 16
Newburyport, MA 01950
Phone (877) 732-6960

Interoperability endpoints

  • Direct secure messaging: nscarantino284725@direct.bilh.masshiway.net

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.

Hospital & facility affiliations 5

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1982471629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 JOHNSON ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MAPLE ST STE 203",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234065",
            "telephone_number": "978-304-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARANTINO",
        "first_name": "NIKKI",
        "middle_name": "THERESE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2373360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.