Active NPI
Marcine Logue, NP
- Family Nurse Practitioner
- Watertown, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN196221
- Practice address
- 480 Pleasant St Ste A300
Watertown, MA 02472-2463 - Phone
- (617) 926-9000
- Fax
- (617) 926-7053
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN196221 | MA | Primary |
Addresses
Primary practice location
480 Pleasant St Ste A300
Watertown, MA 02472-2463
Mailing address
330 Mt Auburn St
Parsons 2
Cambridge, MA 02138-5597
Phone (617) 926-9000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110014310A | Medicaid | MA | |
| 0327964 | Medicaid | MA |
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
Enrollment records 1
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
Practice addresses (Care Compare)
57 Bedford St
Suite 130
Lexington, MA 02420-4543
Phone (781) 862-7500
Hospital & facility affiliations
- Mount Auburn Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN196221 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Auburn Professional Services Inc | Current | Accepting new patients | |
| Mt Auburn Professional Services | Current | Accepting new patients | |
| Mt Auburn Professional Services | Past | Accepting new patients | |
| Mount Auburn Professional Services Inc | Past | Accepting new patients |
Locations
330 Mount Auburn St
#2
Cambridge, MA 02138
Phone (617) 499-5026
57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500
480 Pleasant St
Ste A300
Watertown, MA 02472
Phone (617) 926-9000
480 Pleasant St
#A300
Watertown, MA 02472
Phone (617) 926-9000
521 Mount Auburn St
Ste 202
Watertown, MA 02472
Phone (617) 926-9000
Interoperability endpoints
- mlogue490567@direct.bilh.masshiway.net
- https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1992750996
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1013375203
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1255674636
-
- Obstetrics & Gynecology Physician
- Watertown, MA
- NPI 1407865439
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1689670259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1174581029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 MT AUBURN ST",
"address_2": "PARSONS 2",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385597",
"telephone_number": "617-926-9000",
"fax_number": "617-926-7053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 PLEASANT ST STE A300",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722463",
"telephone_number": "617-926-9000",
"fax_number": "617-926-7053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGUE",
"first_name": "MARCINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN196221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110014310A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0327964",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.