Individual provider Active NPI

Erin Elizabeth Egan, NP

  • Gerontology Nurse Practitioner
  • Norwell, MA
National Provider Identifier
1013519693
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN2261460 Issued in MA
Practice address
120 Longwater Dr
Norwell, MA 02061-1653
Phone
(781) 659-2342
Fax
(781) 659-2139
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN2261460 MA
Gerontology Nurse Practitioner 363LG0600X RN2261460 MA Primary

Addresses

Primary practice location

120 Longwater Dr
Norwell, MA 02061-1653

Mailing address

180 Dillingham Way
Hanover, MA 02339-1436
Phone (617) 835-8812

Other practice location 1

180 Dillingham Way
Hanover, MA 02339-1436
Phone (617) 835-8812

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
I20230428002255 MA Practitioner - Nurse Practitioner 9537524475 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Norwell Visiting Nurse Association Inc CurrentSince Jan 20, 2023 Accepting new patients
Dana-Farber Cancer Institute, Inc. Current Accepting new patients
Norwell Visiting Nurse Association, Inc PastSince May 29, 2022 Accepting new patients

Locations

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

120 Longwater Dr
Norwell, MA 02061
Phone (781) 659-2342

120 Longwater Dr
Ste 200
Norwell, MA 02061
Phone (781) 659-2342

101 Columbian St
Fl 3
Weymouth, MA 02190
Phone (781) 624-4800

Interoperability endpoints

  • Direct secure messaging: egan.erin.dfci@direct.partners.masshiway.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1013519693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 DILLINGHAM WAY",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391436",
            "telephone_number": "617-835-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LONGWATER DR",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611653",
            "telephone_number": "781-659-2342",
            "fax_number": "781-659-2139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Dillingham Way",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "MA",
            "postal_code": "023391436",
            "country_code": "US",
            "telephone_number": "617-835-8812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGAN",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MA",
            "license": "RN2261460",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2261460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

Verify at the official NPI Registry.