Individual provider Active NPI

Marcella A Dixon

  • Adult Psychiatric/Mental Health Registered Nurse
  • Randolph, MA
National Provider Identifier
1285127001
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
RN2270419 Issued in MA
Practice address
14 Robert Arey Dr
Randolph, MA 02368-3742
Phone
(857) 234-6540
NPI assigned
Jun 7, 2018
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2270416 MA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN2270419 MA Primary

Addresses

Primary practice location

14 Robert Arey Dr
Randolph, MA 02368-3742

Mailing address

14 Robert Arey Dr
Randolph, MA 02368-3742
Phone (857) 234-6540

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
I20221213000837 MA Practitioner - Nurse Practitioner 9638548746 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Volunteers of America of Massachusetts Inc.Group PAC ID 8325097025, 19 clinicians

Practice addresses (Care Compare)

1419 Hancock St
Quincy, MA 02169-5250
Phone (617) 770-9690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2270419MAMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America of Massachusetts Inc Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
Circle Care Behavioral Health LLC Psychiatric/Mental Health, Adult CurrentSince Jun 24, 2023 Accepting new patients
Starr Psychiatric Center Inc Single Specialty CurrentSince Oct 25, 2022 Accepting new patients
New England Psychiatric Alliance Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
The Family Center Past Accepting new patients

Locations

150 Grossman Dr
Ste 205
Braintree, MA 02184
Phone (508) 535-5826

529 Pearl St
Brockton, MA 02301
Phone (508) 580-1616

1419 Hancock St
Quincy, MA 02169
Phone (617) 328-0639

1419 Hancock St
Ste 200
Quincy, MA 02169
Phone (617) 770-9690

440 Washington St
Unit 201
Weymouth, MA 02188
Phone (781) 428-4128

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/voamass/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1285127001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ROBERT AREY DR",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683742",
            "telephone_number": "857-234-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ROBERT AREY DR",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683742",
            "telephone_number": "857-234-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MARCELLA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2270416",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "RN2270419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

Verify at the official NPI Registry.