Individual provider Active NPI

Kerrilyn Pessin, FNP

  • Family Nurse Practitioner
  • Holliston, MA
National Provider Identifier
1285023291
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN211113 Issued in MA
Practice address
120 Morgans Way
Holliston, MA 01746-2256
Phone
(774) 293-0658
NPI assigned
Jan 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 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 RN211113 MA Primary

Addresses

Primary practice location

120 Morgans Way
Holliston, MA 01746-2256

Mailing address

120 Morgans Way
Holliston, MA 01746-2256

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
I20150413000916 MA Practitioner - Nurse Practitioner 1850619305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tufts Medical Center Community Care IncGroup PAC ID 4981915659, 21 clinicians

Practice addresses (Care Compare)

959 Concord St
Suite 200
Framingham, MA 01701-4682
Phone (508) 532-0223

Hospital & facility affiliations

  • Metrowest Medical Center Hospital, Framingham, MA, CCN 220175

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tufts Medical Center Community Care, Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

325 Wood Rd
Ste 210
Braintree, MA 02184
Phone (781) 356-3336

959 Concord St
Ste 200
Framingham, MA 01701
Phone (508) 532-0223

1690 Crown Colony Dr
Quincy, MA 02169
Phone (781) 237-3395

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.

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": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1285023291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MORGANS WAY",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MORGANS WAY",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462256",
            "telephone_number": "774-293-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESSIN",
        "first_name": "KERRILYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN211113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holliston, MA

Sources for this page

Verify at the official NPI Registry.