Individual provider Active NPI

Nancy Marie Noonan, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Webster, MA
National Provider Identifier
1114653847
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
192981 Issued in MA
Practice address
534 School St
Webster, MA 01570-4319
Phone
(508) 943-0612
Fax
(508) 943-5855
NPI assigned
Jul 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 192981 MA Primary

Addresses

Primary practice location

534 School St
Webster, MA 01570-4319

Mailing address

34 Pearly LN
Gardner, MA 01440-1736
Phone (508) 943-0612

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nnoonan@carecentralvna.org Direct

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
I20260109001035 MA Practitioner - Nurse Practitioner 1658857677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Corey Dr
Oxford, MA 01540-2482

30 Northampton St
Boston, MA 02118-4010

30 Northampton St
Boston, MA 02118-4098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
192981MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boston'S Community Medical Group, Inc. CurrentSince Nov 1, 2025 Accepting new patients

Locations

30 Northampton St
Roxbury, MA 02118
Phone (617) 433-9601

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": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1114653847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PEARLY LN",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401736",
            "telephone_number": "508-943-0612",
            "fax_number": "508-943-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 SCHOOL ST",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015704319",
            "telephone_number": "508-943-0612",
            "fax_number": "508-943-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "NANCY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "192981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nnoonan@carecentralvna.org",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "encrypted email",
            "address_1": "534 School St",
            "city": "Webster",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015704319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Webster, MA

Sources for this page

Verify at the official NPI Registry.