Individual provider Active NPI

Edilia F. Gomes, PMHNP-BC, MSW

  • Psychiatric/Mental Health Nurse Practitioner
  • Melrose, MA
National Provider Identifier
1992860571
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2270722 Issued in MA
Practice address
1 W Foster St Ste 2
Melrose, MA 02176-3879
Phone
(781) 824-6464
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 111096 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2270722 MA Primary

Addresses

Primary practice location

1 W Foster St Ste 2
Melrose, MA 02176-3879

Mailing address

1 W Foster St Ste 2
Melrose, MA 02176-3879
Phone (781) 824-6464

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
I20130418000485 MA Practitioner - Nurse Practitioner 6507891173 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 W Foster St
Third Floor Suite 2
Melrose, MA 02176-3879
Phone (781) 824-6464

Merit-based Incentive Payment System (MIPS)

Final score
91.27 of 100Reported as group
Quality
77.51
Promoting interoperability
100
Improvement activities
40
Cost
76.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111096MAMDSocial Worker
RN2270722MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hearts Care Center LLC Psychiatric/Mental Health CurrentSince Apr 29, 2024 Accepting new patients
Riverside Community Care, Inc. CurrentSince Feb 21, 2013 Accepting new patients

Locations

270 Bridge St
Ste 301
Dedham, MA 02026
Phone (617) 230-9905

1 W Foster St
Ste 2
Melrose, MA 02176
Phone (781) 558-0020

190 Lenox St
Norwood, MA 02062
Phone (781) 769-8670

294 Pleasant St
Ste 204D
Stoughton, MA 02072
Phone (413) 732-7677

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1992860571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W FOSTER ST STE 2",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763879",
            "telephone_number": "781-824-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W FOSTER ST STE 2",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763879",
            "telephone_number": "781-824-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMES",
        "first_name": "EDILIA",
        "middle_name": "F.",
        "credential": "PMHNP-BC, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "111096",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2270722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

Verify at the official NPI Registry.