Individual provider Active NPI

Meghan Prentiss, PA-C

  • Physician Assistant
  • Plymouth, MA
National Provider Identifier
1003902404
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
AP1995 Issued in MA
Practice address
45 Resnik Rd Ste 205
Plymouth, MA 02360-7223
Phone
(508) 746-5060
NPI assigned
Oct 4, 2006
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AP1995 MA Primary

Addresses

Primary practice location

45 Resnik Rd Ste 205
Plymouth, MA 02360-7223

Mailing address

41 Stockade Path
Duxbury, MA 02332-4627
Phone (781) 585-2827

Other practice location 1

75 Francis St
Boston, MA 02115-6110
Phone (617) 525-7378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080416000148 MA Practitioner - Physician Assistant 6507944592 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donald S. Marks, M.D., P.C.Group PAC ID 4183809080, 5 clinicians
Seacoast Neurology Group PCGroup PAC ID 6103320155, 4 clinicians

Practice addresses (Care Compare)

45 Resnik Rd
Suite 205
Plymouth, MA 02360-7223
Phone (508) 746-5060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
AP1995MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women's Hospital Current Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 1, 2012 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 1, 2012 Accepting new patients
Seacoast Neurology Group, PC CurrentSince Sep 27, 2025 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

1 Donalds Way
Ste 205
East Bridgewater, MA 02333
Phone (508) 350-2150

362 N Bedford St
East Bridgewtr, MA 02333
Phone (508) 350-2350

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

45 Resnik Rd
Ste 205
Plymouth, MA 02360
Phone (508) 746-4240

21 Bristol Dr
Ste 200
South Easton, MA 02375
Phone (508) 565-7300

Interoperability endpoints

  • Direct secure messaging: prentiss.meghan.bwh@direct.partners.masshiway.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1003902404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 STOCKADE PATH",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324627",
            "telephone_number": "781-585-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 RESNIK RD STE 205",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607223",
            "telephone_number": "508-746-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Francis St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156110",
            "country_code": "US",
            "telephone_number": "617-525-7378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRENTISS",
        "first_name": "MEGHAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "AP1995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.