Active NPI
Margaret Moss Ellison, APRN, BC
- Gerontology Nurse Practitioner
- Waltham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 216415
- Practice address
- 950 Winter St
Suite 3800
Waltham, MA 02451-1424 - Phone
- (781) 472-8592
- NPI assigned
- Jan 15, 2007
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 216415 | MA | Primary |
Addresses
Primary practice location
950 Winter St
Suite 3800
Waltham, MA 02451-1424
Mailing address
950 Winter St
Suite 3800
Waltham, MA 02451-1424
Phone (781) 801-3897
Other names 1
- Margaret Ellen Moss
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1208 King St
Suite 500
Chattanooga, TN 37403-4352
163 Randolph St
South Weymouth, MA 02190-1007
330 Edmondson St
Summerville, GA 30747-2141
PO Box
Kansas City, MO 64180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216415 | MA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concertocare Medical Group of Tennessee, PC | Current | Accepting new patients | |
| Perfect Health PC | Current | Accepting new patients | |
| Concertocare Medical Group of Rhode Island, PC | Current | Accepting new patients |
Locations
1991 Industrial Dr
Ste 109
Deland, FL 32724
100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389
811 Main St
#7
Kansas City, MO 64105
169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931
10 Dorrance St
Ste 700
Providence, RI 02903
Phone (401) 200-8242
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
- Boston, MA
- NPI 1861815300
-
- Internal Medicine Physician
- Providence, RI
- NPI 1982307609
-
- Family Medicine Physician
- Durham, NC
- NPI 1073281374
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1780423863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1174674261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 WINTER ST",
"address_2": "SUITE 3800",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511424",
"telephone_number": "781-801-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 WINTER ST",
"address_2": "SUITE 3800",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511424",
"telephone_number": "781-472-8592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLISON",
"first_name": "MARGARET",
"middle_name": "MOSS",
"credential": "APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "216415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARGARET",
"last_name": "MOSS",
"middle_name": "ELLEN",
"credential": "APRN, BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.