Active NPI
Mary D Warzynski, NP
- Nurse Practitioner
- Chestnut Hill, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 200847
- Practice address
- 291 Independence Dr
Chestnut Hill, MA 02467-3628 - Phone
- (617) 325-2800
- NPI assigned
- Apr 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 200847 | MA | |
| Nurse Practitioner | 363L00000X | 200847 | MA | Primary |
Addresses
Primary practice location
291 Independence Dr
Chestnut Hill, MA 02467-3628
Mailing address
291 Independence Dr
Chestnut Hill, MA 02467-3628
Phone (617) 325-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2979 | Other | MA | BLUE CROSS |
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, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Lyons St
Dedham, MA 02026-5599
Phone (781) 329-1400
100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800
133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000
2 Technology Park Dr
Suite a
Bourne, MA 02532-8341
Phone (508) 743-9543
21 Bristol Dr
South Easton, MA 02375-1199
Phone (774) 302-5700
291 Independence Dr
Chestnut Hill, MA 02467-3628
Phone (617) 325-2800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200847 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Atrius Health, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Atrius Health, Inc. | Nurse Practitioner | Current | Accepting new patients |
Locations
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
291 Independence Dr
Chestnut Hill, MA 02467
Phone (617) 325-2800
330 Baker Ave
Concord, MA 01742
Phone (978) 287-9300
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1316909013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 INDEPENDENCE DR",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673628",
"telephone_number": "617-325-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 INDEPENDENCE DR",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673628",
"telephone_number": "617-325-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARZYNSKI",
"first_name": "MARY",
"middle_name": "D",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "200847",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "200847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "NP2979",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.