Individual provider Active NPI

Maren Hennigan Puder, FNP

  • Family Nurse Practitioner
  • Wilmington, MA
National Provider Identifier
1306270707
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2276857 Issued in MA
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

Updated by the provider on Apr 11, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131118000698 MA Practitioner - Nurse Practitioner 6002042298 Reassigns benefits to 4 organizations

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
Beth Israel Lahey Health Specialty Care, Inc.Group PAC ID 2365405024, 264 clinicians

Practice addresses (Care Compare)

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8400

Hospital & facility affiliations

  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2276857MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Dec 12, 2024 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Dec 12, 2024 Accepting new patients
Afc Physicians of Massachusetts, PC CurrentSince Nov 1, 2015 Accepting new patients
Winchester Physician Associates, Inc CurrentSince Feb 1, 2016 Accepting new patients
Winchester Emergency Medical Associates PC CurrentSince Sep 18, 2017 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.