Katelyn Michelle Pento

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN275919 Issued in MA

Practice address

330 Washington St
Weymouth, MA 02188-2932

Phone

(781) 626-5160

NPI assigned

Nov 17, 2019

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Shore Health Express IncGroup PAC ID 6406108836, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katelyn.pento@direct.signature.masshiway.net

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.

• South Shore Health Express, Inc

  • Urgent Care Clinic/Center
  • Weymouth, MA
  • NPI 1477044212
  Medicare reassignment Care Compare group NPD
• Compass Medical PC

  • General Practice Physician
  • East Bridgewater, MA
  • NPI 1962437962
  Medicare reassignment NPD
• Massachusetts Express Care PLLC

  • Urgent Care Clinic/Center
  • Weymouth, MA
  • NPI 1952725756
  Medicare reassignment NPD
• Signature Healthcare Medical Group Inc

  • Internal Medicine Physician
  • Brockton, MA
  • NPI 1508804949
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1255600300
  Medicare reassignment NPD
• Compass Medical PC

  • Family Medicine Physician
  • So Weymouth, MA
  • NPI 1356462964
  NPD
• South Shore Health Express, Inc

  • Urgent Care Clinic/Center
  • Braintree, MA
  • NPI 1487203246
  NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD
• Steward Medical Group, Inc

  • Specialist
  • Watertown, MA
  • NPI 1629398219
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Shore Hospital Inc.

  • General Acute Care Hospital
  • South Weymouth, MA
  • NPI 1134227606
  Care Compare affiliation

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

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1164067831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 BLUEJAY WAY",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023593341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021882932",
            "telephone_number": "781-626-5160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 Bluejay Way",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "MA",
            "postal_code": "023593341",
            "country_code": "US",
            "telephone_number": "781-831-2217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENTO",
        "first_name": "KATELYN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-17",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MA",
            "license": "RN275919",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN275919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "katelynpento@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "87 Bluejay Way",
            "city": "Pembroke",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023593341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jordan D Paulson, MD
• Anthony Pazienza, PA-C
• Cristina Peebles
• Genesis Iliana Peguero, MSW, LICSW
• Jon J Pehrson, M.D.
• Kendall Percich, DPT, PT
• Milica Perosevic, MD
• Nikola Perosevic, M.D.
• Jacob Louis Perriello
• Jeanine Marie Perrone

• Family Nurse Practitioner in Weymouth, MA
• Providers in Weymouth, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.