Individual provider Active NPI

Colleen Rooney, NP

  • Primary Care Nurse Practitioner
  • Wellesley, MA
National Provider Identifier
1053448365
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
I59727 Issued in MA
Practice address
65 Walnut St Ste 440
Wellesley, MA 02481-2196
Phone
(781) 235-9089
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X I59727 MA Primary

Addresses

Primary practice location

65 Walnut St Ste 440
Wellesley, MA 02481-2196

Mailing address

15 Chestnut St
Belmont, MA 02478-4707
Phone (617) 489-6406

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
I20130919000748 MA Practitioner - Nurse Practitioner 7810131547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

25 Boylston St
Suite 204
Chestnut Hill, MA 02467-1710
Phone (617) 754-0400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
I59727MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care of Boston Management Corporation CurrentSince Oct 14, 2017 Accepting new patients
Chinhak Chun, M.D. Past Accepting new patients

Locations

1101 Beacon St
Ste 4
Brookline, MA 02446
Phone (617) 294-0712

1180 Beacon St
Fl 8
Brookline, MA 02446
Phone (617) 734-2433

25 Boylston St
Chestnut Hill, MA 02467
Phone (617) 277-2399

25 Boylston St
Ste 204
Chestnut Hill, MA 02467
Phone (617) 232-8777

230 Bowdoin St
Dorchester, MA 02122
Phone (617) 754-0100

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

Interoperability endpoints

  • Direct secure messaging: crooney253673@direct.bilh.masshiway.net

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053448365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CHESTNUT ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784707",
            "telephone_number": "617-489-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST STE 440",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812196",
            "telephone_number": "781-235-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROONEY",
        "first_name": "COLLEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "I59727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.