MINDSPAN MEDICAL PC
NPI 1659264646
Clinic/Center in Danvers, MA

Active since May 30, 2025
99 CONIFER HILL DR, DANVERS, MA 01923(469) 772-9400 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mindspan Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDSPAN MEDICAL PC (NPI 1659264646) is a healthcare organization registered as a clinic/center in Danvers, Massachusetts and active in the NPI registry since May 2025. The organization lists Jennifer Harless, Director Of Rcm, as its authorized official.

NPPES Registry Identity

NPI1659264646
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMINDSPAN MEDICAL PC
Location Address99 CONIFER HILL DRDanvers, MA 01923-1193
Mailing Address169 Madison Ave Ste 90030New York, NY 10016-5101 · (978) 850-3914 · Fax (646) 365-0517
Organization SubpartNo
Authorized OfficialJennifer HarlessDirector Of Rcm · (508) 494-8275
Enumeration DateMay 30, 2025
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1659264646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
99 CONIFER HILL DR, Danvers, MA 01923

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindspan Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mindspan Medical PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Neurology
NPI 1043314198
152 CONANT ST STE 200
Beverly, MA 01915
(978) 922-2226
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1164543179
29 EMERSON AVE
Gloucester, MA 01930
(978) 283-7375
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindspan Medical PC's NPI number?

The NPI number for Mindspan Medical PC is 1659264646. It was assigned to this organization in the NPPES registry on May 30, 2025.

Where is Mindspan Medical PC located?

Mindspan Medical PC is located at 99 Conifer Hill Dr, Danvers, MA 01923. The listed phone number is (469) 772-9400.

What is Mindspan Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Mindspan Medical PC enrolled in Medicare?

Yes. Mindspan Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindspan Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mindspan Medical PC, in Neurology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mindspan Medical PC was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.