Maxwel David Carlson, CNP, DNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG09240067 Issued in MA

Practice address

20 Maverick SQ
East Boston, MA 02128-2335

Phone

(617) 569-5800

Fax

(617) 568-4685

NPI assigned

Oct 12, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Internal Medical Associates-EbnhcGroup PAC ID 6103814371, 239 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boston Medical Center Hospital, Boston, MA, CCN 220031

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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 Medical Associates-Ebnhc

  • Community Health Clinic/Center
  • East Boston, MA
  • NPI 1558481879
  Medicare reassignment Care Compare group NPD
• Neighborhealth Corporation

  • Community Health Clinic/Center
  • East Boston, MA
  • NPI 1316994411
  NPD

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

• Boston Medical Center

  • Clinic/Center
  • Dorchester, MA
  • NPI 1487844726

  Hospital

  Care Compare affiliation
• Boston Medical Center Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1164177028
  Care Compare affiliation
• Boston Medical Center Corporation

  • Community Health Clinic/Center
  • South Boston, MA
  • NPI 1225228679

  Hospital

  Care Compare affiliation
• Boston Medical Center Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1346218294
  Care Compare affiliation
• Boston Medical Center Corporation

  • Community Health Clinic/Center
  • Roslindale, MA
  • NPI 1386718823

  Hospital

  Care Compare affiliation
• Boston Medical Center Corporation

  • Community Health Clinic/Center
  • Dorchester, MA
  • NPI 1780874677

  Hospital

  Care Compare affiliation
• Boston Medical Center Corporation

  • Community Health Clinic/Center
  • East Boston, MA
  • NPI 1861683518

  Hospital

  Care Compare affiliation
• Medical Associates of Ebnhc

  • Community Health Clinic/Center
  • East Boston, MA
  • NPI 1255451597

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1728691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1235959529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GOVE ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281920",
            "telephone_number": "617-569-5800",
            "fax_number": "617-568-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAVERICK SQ",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021282335",
            "telephone_number": "617-569-5800",
            "fax_number": "617-568-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MAXWEL",
        "middle_name": "DAVID",
        "credential": "CNP, DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-12",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2381302",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "AG09240067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maximiliano Campos, LCSW
• Robert C Capone, O.D.
• Ruth M Capone, RNP
• Lilia H Cardenas, MD
• Caring Hearts Services LLC
• Alison Carr, PT
• Casey Lynn Carson
• Kimberly Ann Carvalho
• Caroline Castleforte, M.D.
• Joanna Cataldo, LICSW

• Gerontology Nurse Practitioner in East Boston, MA
• Providers in East Boston, MA by specialty
• Gerontology Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.