MICHELE JAVADPOOR DNP AGPCNP-BC NPI 1124422951

NPI Information

  • NPI: 1124422951
  • Provider Name: MICHELE JAVADPOOR, DNP, AGPCNP-BC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 819 WORCESTER ST STE 3
    SPRINGFIELD, MA
    ZIP 01151
  • Phone: (413) 543-6820

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NPI Details

Michele Javadpoor, DNP, AGPCNP-BC is a gerontology nurse practitioner in Springfield, MA with 12 years of experience. Michele Javadpoor, DNP, AGPCNP-BC NPI is 1124422951. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

819 WORCESTER ST STE 3
SPRINGFIELD, MA
ZIP 01151-056
Phone: (413) 543-6820
Fax: (413) 543-7962

The NPI 1124422951 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth (HCPCS:G0426)
  • Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth (HCPCS:G0425)

The enumeration date for this NPI number is 10/22/2014 and was last updated on 6/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner26NJ00719500NEW JERSEYNo
2363LA2200XNurse PractitionerAdult Health2300692MASSACHUSETTSNo
3363LG0600XNurse PractitionerGerontology2300692MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGMEDICAIDMASSACHUSETTS
2PENDINGMEDICARE UPINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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