Individual provider Active NPI

Marybeth Marcotte, RNC

  • Obstetrics & Gynecology Nurse Practitioner
  • N Chelmsford, MA
National Provider Identifier
1275506669
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
132625 Issued in MA
Practice address
20 Research PL
Suite 300
N Chelmsford, MA 01863-2454
Phone
(978) 256-1858
Fax
(978) 788-7896
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 132625 MA Primary

Addresses

Primary practice location

20 Research PL
Suite 300
N Chelmsford, MA 01863-2454

Mailing address

20 Research PL Ste 320
N Chelmsford, MA 01863-2455
Phone (978) 256-1858

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
I20081029000442 MA Practitioner - Nurse Practitioner 8325106792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Circle Health OBGYN, LLC.Group PAC ID 1052483476, 18 clinicians

Practice addresses (Care Compare)

20 Research PL
Suite 320
North Chelmsford, MA 01863-2455
Phone (978) 256-1858

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
132625MAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Health OBGYN, LLC. CurrentSince Aug 20, 2015 Accepting new patients
LGH Medical Group, Inc. Past Accepting new patients
LGH Womanhealth PastSince Nov 15, 2020 Accepting new patients

Locations

9 Loon Hill Rd
Ste 202
Dracut, MA 01826

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

20 Research Pl
Ste 300
North Chelmsford, MA 01863
Phone (978) 459-0018

20 Research Pl
Ste 320
North Chelmsford, MA 01863
Phone (978) 256-1858

198 Littleton Rd
Ste 201
Westford, MA 01886

Interoperability endpoints

  • Direct secure messaging: mmarcotte27041@tuftsmedicine.direct-ci.com
  • Direct secure messaging: marybeth.marcotte@womanhealth.circlehealthdirect.org

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.

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1275506669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL STE 320",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632455",
            "telephone_number": "978-256-1858",
            "fax_number": "978-788-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL",
            "address_2": "SUITE 300",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632454",
            "telephone_number": "978-256-1858",
            "fax_number": "978-788-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOTTE",
        "first_name": "MARYBETH",
        "credential": "RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MA",
            "license": "132625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.