Individual provider Active NPI

Denise Egan, APRN-BC

  • Gerontology Registered Nurse
  • Norwell, MA
National Provider Identifier
1184608358
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
177104 Issued in MA
Practice address
353 Washington St
Norwell, MA 02061-1903
Phone
(781) 659-1800
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 177104 MA Primary

Addresses

Primary practice location

353 Washington St
Norwell, MA 02061-1903

Mailing address

39 Farnum Rd
PO Box 1415
Pembroke, MA 02359-3602
Phone (781) 294-8970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
177104MAMDGerontology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care of Boston Management Corporation CurrentSince Feb 1, 2009 Accepting new patients
Perry R Hearn PastSince Jul 19, 2004 Accepting new patients
Nova Psychiatric Services, PC PastSince Apr 14, 2018 Accepting new patients

Locations

353 Washington St
Norwell, MA 02061
Phone (781) 659-1800

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1184608358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 FARNUM RD",
            "address_2": "PO BOX 1415",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023593602",
            "telephone_number": "781-294-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611903",
            "telephone_number": "781-659-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "MA",
            "license": "177104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

Verify at the official NPI Registry.