Individual provider Active NPI

Marla Deangelis

  • Nurse Practitioner
  • Natick, MA
National Provider Identifier
1235934043
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN269392 Issued in MA
Practice address
28 Lookout Ave
Natick, MA 01760-4135
Phone
(508) 960-5747
Fax
(508) 969-9573
NPI assigned
Feb 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X RN269392 MA Primary

Addresses

Primary practice location

28 Lookout Ave
Natick, MA 01760-4135

Mailing address

41 W Central St
Natick, MA 01760-4503
Phone (508) 960-5747

Other names 1

  • Marla Marini Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN269392MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marla Deangelis, Pmhnp, PLLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

41 W Central St
Natick, MA 01760
Phone (508) 272-0791

Organizations & group practices 1

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": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1235934043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 W CENTRAL ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604503",
            "telephone_number": "508-960-5747",
            "fax_number": "508-969-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 LOOKOUT AVE",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604135",
            "telephone_number": "508-960-5747",
            "fax_number": "508-969-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELIS",
        "first_name": "MARLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN269392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLA",
            "last_name": "MARINI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.