Individual provider Active NPI

Maria Coyne

  • Family Nurse Practitioner
  • Provincetown, MA
National Provider Identifier
1285415463
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2331559 Issued in MA
Practice address
49 Harry Kemp Way
Provincetown, MA 02657-1618
Phone
(508) 487-9395
NPI assigned
Oct 12, 2023
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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 RN2331559 MA Primary

Addresses

Primary practice location

49 Harry Kemp Way
Provincetown, MA 02657-1618

Mailing address

30 Juniper Way
Eastham, MA 02642-2080
Phone (508) 463-5619

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
I20240227003875 MA Practitioner - Nurse Practitioner 5991140188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outer Cape Health Services IncGroup PAC ID 4385554971, 51 clinicians

Practice addresses (Care Compare)

49 Harry Kemp Way
Provincetown, MA 02657-1618
Phone (508) 487-9395

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Outer Cape Health Services, Inc. CurrentSince Dec 12, 2023 Accepting new patients
Outer Cape Health Services CurrentSince Dec 12, 2023 Accepting new patients
Outer Cape Health Services, Inc. Current Accepting new patients

Locations

49 Harry Kemp Way
Provincetown, MA 02657
Phone (508) 487-9395

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1285415463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JUNIPER WAY",
            "city": "EASTHAM",
            "state": "MA",
            "postal_code": "026422080",
            "telephone_number": "508-463-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HARRY KEMP WAY",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026571618",
            "telephone_number": "508-487-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYNE",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2331559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provincetown, MA

Sources for this page

Verify at the official NPI Registry.