Individual provider Active NPI

Marie G Bennett, FNP-BC

  • Family Nurse Practitioner
  • Ayer, MA
National Provider Identifier
1215376405
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2265713 Issued in MA
Practice address
200 Groton Rd
Ayer, MA 01432-1168
Phone
(978) 784-9000
NPI assigned
Jun 20, 2013
Last updated
Mar 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2265713 MA Primary

Addresses

Primary practice location

200 Groton Rd
Ayer, MA 01432-1168

Mailing address

819 Worcester St
Ste 3
Springfield, MA 01151-1045
Phone (413) 543-6820

Other identifiers 1

IdentifierTypeStateIssuer
110099188AMedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140618001161 MA Practitioner - Nurse Practitioner 6507080314 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seacoast Affiliated Group Practice IncGroup PAC ID 1658357843, 50 clinicians

Practice addresses (Care Compare)

21 Highland Ave
Newburyport, MA 01950-3873
Phone (978) 255-4217

25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 834-8074

255 Low St
Newburyport, MA 01950-3596

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Heywood Memorial Hospital Family CurrentSince Nov 1, 2020 Accepting new patients
Massachusetts Acute Care Specialists PC CurrentSince May 1, 2018 Accepting new patients
Athol Memorial Hospital Incorporated Family CurrentSince Nov 1, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 16, 2016 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Nov 1, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 16, 2016 Accepting new patients
Steward Emergency Physicians, Inc CurrentSince Dec 31, 2015 Accepting new patients
Seacoast Affiliated Group Practice, Inc. CurrentSince Feb 10, 2025 Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients

Locations

24 Morrill Pl
Amesbury, MA 01913
Phone (978) 388-5050

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

21 Highland Ave
Ste 5
Newburyport, MA 01950
Phone (978) 255-4217

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1215376405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 WORCESTER ST",
            "address_2": "STE 3",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011511045",
            "telephone_number": "413-543-6820",
            "fax_number": "413-543-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GROTON RD",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321168",
            "telephone_number": "978-784-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MARIE",
        "middle_name": "G",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2265713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110099188A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ayer, MA

Sources for this page

Verify at the official NPI Registry.