Individual provider Active NPI

Mona Edouard, APRN,FNP-BC

  • Family Nurse Practitioner
  • Randolph, MA
National Provider Identifier
1255291894
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2288734 Issued in MA
Practice address
81 Memorial Pkwy Ofc a
Randolph, MA 02368-4505
Phone
(781) 926-3339
NPI assigned
Nov 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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 2288734 MA Primary

Addresses

Primary practice location

81 Memorial Pkwy Ofc a
Randolph, MA 02368-4505

Mailing address

59 Blaine St
Fall River, MA 02723-2704
Phone (781) 518-1543

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
I20260402002688 MA Practitioner - Nurse Practitioner 6709361157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Healthcare LLCGroup PAC ID 4880063726, 13 clinicians

Practice addresses (Care Compare)

81 Memorial Pkwy
Ofc a
Randolph, MA 02368-4505
Phone (781) 926-3339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2288734MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Healthcare LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

81 Memorial Pkwy
Ofc A
Randolph, MA 02368
Phone (781) 926-3339

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": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1255291894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 BLAINE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027232704",
            "telephone_number": "781-518-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MEMORIAL PKWY OFC A",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684505",
            "telephone_number": "781-926-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDOUARD",
        "first_name": "MONA",
        "credential": "APRN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-17",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2288734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

Verify at the official NPI Registry.