Individual provider Active NPI

Ann Waithera Wanderi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Medway, MA
National Provider Identifier
1013144831
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN278447 Issued in MA
Practice address
67 Main St
Medway, MA 02053-1817
Phone
(186) 638-9272
NPI assigned
Jun 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 278447 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN278447 MA Primary

Addresses

Primary practice location

67 Main St
Medway, MA 02053-1817

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (978) 536-7850

Other practice location 1

100 Brooksby Village Dr
Peabody, MA 01960-1438
Phone (978) 536-7850

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
I20091123000407 MA Practitioner - Nurse Practitioner 7618016148 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Brooksby Village Dr
Peabody, MA 01960-1438
Phone (978) 536-7850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
278447MAMDFamily Nurse Practitioner
RN278447MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emotional Step Up Health Systems LLC Psychiatric/Mental Health CurrentSince Jul 21, 2024 Accepting new patients
Erickson Health Medical Group of Massachusetts PC CurrentSince May 14, 2025 Accepting new patients
Erickson Health Medical Group of Massachusetts PC CurrentSince May 14, 2025 Accepting new patients
Chinne Health Systems LLC CurrentSince Dec 13, 2023 Accepting new patients
Parity Urgent Care Plus, LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

14-16 Fletcher St
Ste 9
Chelmsford, MA 01824
Phone (978) 726-8661

300 Linden Ponds Way
Hingham, MA 02043
Phone (781) 534-7100

330 Lynnway
Ste 112
Lynn, MA 01901
Phone (781) 593-3900

100 Brooksby Village Dr
Peabody, MA 01960
Phone (978) 536-2150

950 American Legion Hwy
Roslindale, MA 02131
Phone (617) 323-3000

950 American Legion Hwy
Unit 10
Roslindale, MA 02131
Phone (617) 991-2931

5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1013144831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "978-536-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MAIN ST",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531817",
            "telephone_number": "186-638-9272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Brooksby Village Dr",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019601438",
            "country_code": "US",
            "telephone_number": "978-536-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANDERI",
        "first_name": "ANN",
        "middle_name": "WAITHERA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "278447",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN278447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medway, MA

Sources for this page

Verify at the official NPI Registry.