Active NPI
Maren Hennigan Puder, FNP
- Family Nurse Practitioner
- Wilmington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2276857
- Practice address
- 500 Salem St
Wilmington, MA 01887-1200 - Phone
- (978) 988-6000
- NPI assigned
- Aug 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2276857 | MA | Primary |
Addresses
Primary practice location
500 Salem St
Wilmington, MA 01887-1200
Mailing address
219 High St
Newburyport, MA 01950-3829
Phone (978) 618-2757
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8400
Hospital & facility affiliations
- Winchester Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.98 of 100
- Quality
- 76.59
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2276857 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Lahey Health Specialty Care, Inc. | Current | Accepting new patients | |
| Beth Israel Lahey Health Specialty Care, Inc. | Current | Accepting new patients | |
| Afc Physicians of Massachusetts, PC | Current | Accepting new patients | |
| Winchester Physician Associates, Inc | Current | Accepting new patients | |
| Winchester Emergency Medical Associates PC | Current | Accepting new patients | |
| Winchester Physician Associates | Past | Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
219 Centre St
Malden, MA 02148
Phone (781) 322-7300
203 Main St
North Reading, MA 01864
Phone (978) 664-1990
500 Salem St
Wilmington, MA 01887
Phone (978) 988-6000
41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000
Interoperability endpoints
- mpuder76323@direct.bilh.masshiway.net
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Gloucester, MA
- NPI 1235147760
-
- Urgent Care Clinic/Center
- Malden, MA
- NPI 1215379789
-
- Emergency Medicine Physician
- Winchester, MA
- NPI 1831131473
-
- Internal Medicine Physician
- Winchester, MA
- NPI 1184606865
-
- Urology Physician
- Burlington, MA
- NPI 1427161660
-
- Internal Medicine Physician
- North Reading, MA
- NPI 1215919931
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1306270707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 HIGH ST",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019503829",
"telephone_number": "978-618-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SALEM ST",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018871200",
"telephone_number": "978-988-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUDER",
"first_name": "MAREN",
"middle_name": "HENNIGAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-21",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2276857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.