Unknown Individual – Nurse Practitioner, NPI 1154602233
Nurse Practitioner
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
200 MILL RD STE 350
FAIRHAVEN, MA 027195253
Phone:
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 27 | 27 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 25 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 21 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
| 81003 | Automated urinalysis test | 15 | 15 | $0 |
Insurance plans in this area (ZIP 02719)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | RI | |
| Clinical Social Worker | MA | |
| Physician Assistant | MA | |
| Emergency Medicine | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| Emergency Medicine | RI | |
| Physician Assistant | MA | |
| Emergency Medicine | NY | |
| Emergency Medicine | MD |
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