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Deactivated NPI 1679794820 Deactivated / Inactive NPI Female Practitioner

Amy Conrey Stevens , CPNP

Nurse Practitioner - Pediatrics • Groton, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Amy Stevens has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 02, 2007
NPI Deactivation Date February 03, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Amy Stevens, CPNP was a registered Nurse Practitioner - Pediatrics practicing in Groton, MA. Throughout an active medical career spanning 15 years, Amy Stevens provided care at the practice location at 22 HILLSIDE AVE until profile deactivation on 2022-02-03.

Practice Location & Contact Primary Location

Practice Address

22 Hillside Ave

Groton, MA 01450

Telephone 9784483388
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Groton, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Groton, MA (1318 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MA 207831

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Elizabeth Warncke

Nurse Practitioner - Family

NPI 1184312373
Melody Nguyen

Nurse Practitioner - Pediatrics

NPI 1407241201
Monicah Kagungo , FNP

Nurse Practitioner - Family

NPI 1821373887

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 03, 2022

Record deactivated on February 03, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 22 HILLSIDE AVE, GROTON, MA 01450 (Tel: 9784483388)

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Updated Business Mailing Address July 08, 2007

Registered at 30 STREETER RD., HUBBARDSTON, MA 01452 (Tel: 9789284498)

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Provider Name / Credentials Updated July 08, 2007

Recorded as AMY STEVENS, CPNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #207831 in MA)

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Initial NPI Registration & Enumeration May 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679794820
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2007
Last Update: July 08, 2007
Deactivation Date: February 03, 2022

Mailing Address

30 Streeter Rd.

Hubbardston, MA 01452

Phone: 9789284498

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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