Individual provider Active NPI

Marie Laudie Nelson, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Foxborough, MA
National Provider Identifier
1104504430
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2265033 Issued in MA
Practice address
225 Foxborough Blvd Ste 201
Foxborough, MA 02035-3062
Phone
(774) 485-5499
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X RN2265033 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2265033 MA Primary

Addresses

Primary practice location

225 Foxborough Blvd Ste 201
Foxborough, MA 02035-3062

Mailing address

235 Wellesley St Ste 1
Weston, MA 02493-1571
Phone (917) 916-7884

Other practice location 1

235 Wellesley St Ste 1
Weston, MA 02493-1571
Phone (917) 916-7884

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
I20240329001639 MA Practitioner - Nurse Practitioner 4385082130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

225 Foxborough Blvd
Suite 201
Foxborough, MA 02035-3062
Phone (508) 901-4685

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2265033MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

225 Foxborough Blvd
Ste 201
Foxborough, MA 02035
Phone (508) 901-4685

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1104504430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WELLESLEY ST STE 1",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931571",
            "telephone_number": "917-916-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 FOXBOROUGH BLVD STE 201",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020353062",
            "telephone_number": "774-485-5499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Wellesley St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "MA",
            "postal_code": "024931571",
            "country_code": "US",
            "telephone_number": "917-916-7884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARIE",
        "middle_name": "LAUDIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "RN2265033",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2265033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxborough, MA

Sources for this page

Verify at the official NPI Registry.