Individual provider Active NPI

Madeline Spinosa, RNCS

  • Clinical Nurse Specialist
  • Charlestown, MA
National Provider Identifier
1124103221
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
164216 Issued in MA
Practice address
73 High St
Charlestown, MA 02129-3026
Phone
(617) 724-8135
Fax
(617) 726-3514
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 164216 MA
Clinical Nurse Specialist 364S00000X 164216 MA Primary

Addresses

Primary practice location

73 High St
Charlestown, MA 02129-3026

Mailing address

73 High St
Charlestown, MA 02129-3026
Phone (617) 724-8135

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
I20040224000092 MA Practitioner - Nurse Practitioner 9537055926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The General Hospital CorporationGroup PAC ID 6507803806, 1,275 clinicians

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

73 High St
Charlestown, MA 02129-3026
Phone (617) 724-8167

Hospital & facility affiliations

  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164216MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts General Physicians Organization Inc CurrentSince Sep 18, 2019 Accepting new patients
Brigham and Women'S Faulkner Hospital, Inc Current Accepting new patients
The General Hospital Corporation CurrentSince Sep 18, 2019 Accepting new patients
Daniel Rutrick, MD, PC Past Accepting new patients
Daniel Rutrick MD PC Past Accepting new patients
Hallmark Health System Inc Past Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

73 High St
Charlestown, MA 02129
Phone (617) 724-8135

101 Main St
Ste 214
Medford, MA 02155
Phone (781) 391-3532

Interoperability endpoints

  • Direct secure messaging: spinosa.madeline.fh@direct.partners.masshiway.net

Organizations & group practices 6

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1124103221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 HIGH ST",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293026",
            "telephone_number": "617-724-8135",
            "fax_number": "617-726-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 HIGH ST",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293026",
            "telephone_number": "617-724-8135",
            "fax_number": "617-726-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINOSA",
        "first_name": "MADELINE",
        "credential": "RNCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "164216",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MA",
            "license": "164216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, MA

Sources for this page

Verify at the official NPI Registry.