Individual provider Active NPI

Makenzie Rose Frisoli

  • Family Nurse Practitioner
  • Boston, MA
National Provider Identifier
1285582791
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN235034 Issued in MA
Practice address
500 Commonwealth Ave Ste 526
Boston, MA 02215-2606
Phone
(508) 317-8302
NPI assigned
Mar 19, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 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 RN235034 MA Primary

Addresses

Primary practice location

500 Commonwealth Ave Ste 526
Boston, MA 02215-2606

Mailing address

136 W Elm St
Pembroke, MA 02359-2111
Phone (508) 317-8302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 B S Governors Ave
Suite 3887
Dover, DE 19904-6903

PO Box
Suite 833
Monroe, VA 24574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN235034MAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1285582791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W ELM ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023592111",
            "telephone_number": "508-317-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COMMONWEALTH AVE STE 526",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152606",
            "telephone_number": "508-317-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISOLI",
        "first_name": "MAKENZIE",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN235034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.