Individual provider Active NPI

Tena Tully, APRN

  • Gerontology Nurse Practitioner
  • Lowell, MA
National Provider Identifier
1306431549
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN2330855 Issued in MA
Practice address
20 Greenfield St
Lowell, MA 01851-4009
Phone
(978) 578-9154
NPI assigned
Mar 9, 2021
Last updated
Jan 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN2330855 MA Primary
Registered Nurse 163W00000X 2330855 MA

Addresses

Primary practice location

20 Greenfield St
Lowell, MA 01851-4009

Mailing address

20 Greenfield St
Lowell, MA 01851-4009
Phone (978) 578-9154

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
I20250122000700 MA Practitioner - Nurse Practitioner 9234668112 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Community Medical Services PCGroup PAC ID 5991016933, 11 clinicians

Practice addresses (Care Compare)

575 Turnpike St
Suite 25
North Andover, MA 01845-5937
Phone (978) 290-4646

Hospital & facility affiliations

  • Caretenders Home health agency, Needham Heights, MA, CCN 227269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2330855MAMDRegistered Nurse
RN2330855MAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Boston Urology, LLC CurrentSince Nov 18, 2024 Accepting new patients
Brockton Urology Clinic Inc Current Accepting new patients
Boston Urology Institute LLC CurrentSince Nov 18, 2024 Accepting new patients
First Choice Community Medical Services PC CurrentSince Aug 7, 2025 Accepting new patients
Gbu Bidco LLC Current Accepting new patients

Locations

161 Worcester Rd
Ste 602
Framingham, MA 01701
Phone (603) 479-4082

51 Mill St
Bldg F
Hanover, MA 02339

50 Memorial Dr
Ste 108
Leominster, MA 01453
Phone (978) 466-2280

575 Turnpike St
Ste 25
North Andover, MA 01845
Phone (978) 290-4646

31 Roche Brothers Way
Ste 100
North Easton, MA 02356
Phone (508) 238-0800

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc35349_bostonurologyinstitute
  • Direct secure messaging: tenatully@gbu.medalliesdirect.net

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.

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": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1306431549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GREENFIELD ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018514009",
            "telephone_number": "978-578-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GREENFIELD ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018514009",
            "telephone_number": "978-578-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLY",
        "first_name": "TENA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2330855",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "2330855",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.