Caroline Namuzinda Mawanda

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN2287980 Issued in MA

Practice address

17 Jennings Rd
North Billerica, MA 01862-3063

Phone

(617) 938-9038

NPI assigned

Feb 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Intrakey Nursing Services LLC

  • Home Health Agency
  • Chelmsford, MA
  • NPI 1033875893

  5% Or Greater Direct Ownership Interest, Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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.

• Caroline Mawanda PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chelmsford, MA
  • NPI 1861365793
  Medicare reassignment NPD Authorized official
• Jose R. Gutierrez MD PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Acton, MA
  • NPI 1851987663
  Medicare reassignment NPD
• Vantage Healthcare LLC

  • Internal Medicine Physician
  • Canton, MA
  • NPI 1366903551
  Medicare reassignment NPD
• Intrakey Nursing Services LLC

  • Home Health Agency
  • Chelmsford, MA
  • NPI 1033875893
  NPD Authorized official
• Atrius Health, Inc.

  • Internal Medicine Physician
  • Beverly, MA
  • NPI 1114265634
  NPD
• Atrius Health, Inc.

  • Internal Medicine Physician
  • Concord, MA
  • NPI 1265655799
  NPD
• Atrius Health, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1871639914
  NPD

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1154821114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 JENNINGS RD",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018623063",
            "telephone_number": "617-938-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 JENNINGS RD",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018623063",
            "telephone_number": "617-938-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWANDA",
        "first_name": "CAROLINE",
        "middle_name": "NAMUZINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2287980",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2287980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caroline_mawanda@atriushealth.org",
            "affiliation": "N",
            "endpointDescription": "Healthcare",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17 Jennings Rd",
            "city": "North Billerica",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018623063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wai Kee Lee, D.M.D.
• Life Care Centers of America, Inc.
• Josephine Nakazibwe Lwanga
• Stacey Allison Maclean, MSW, LICSW
• Fathyeh F Marvasti, M.D.
• McCormacks Drug Inc
• McCormacks Drug Inc
• Michelle Jann McEwen, B.A.
• Merrimack Valley Operations, LLC
• Sylvia Mukasa

• Primary Care Nurse Practitioner in North Billerica, MA
• Providers in North Billerica, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.