Provider Demographics
NPI:1053397349
Name:SIMPSON, CARA A (GNP)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:A
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 NEPONSET ST FL STREET2
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-595-2000
Mailing Address - Fax:508-853-7149
Practice Address - Street 1:385 GROVE ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-3924
Practice Address - Country:US
Practice Address - Phone:508-595-2000
Practice Address - Fax:508-853-7149
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA163662363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
04 2472266OtherTHREE RIVERS
NS0076OtherBLUE SHIELD INDEMNITY
500006185OtherRAILROAD MEDICARE
NS0076OtherMEDICARE B
700399OtherMEDICAID WELFARE
83 00313OtherEVERCARE
NS0076OtherBLUE CARE ELECT
04 2472266OtherPRIVATE HEALTHCARE SYST.
MA700399Medicaid
NS0076OtherBLUE SHIELD HMO BLUE
04247226OtherONE HEALTH PLAN
57608OtherFALLON COMMUNITY HEALTH
AA448OtherHARVARD PILGRIM HEALTH
NS0076OtherBLUE SHIELD HMO BLUE
MANS0076Medicare ID - Type Unspecified