Individual provider Active NPI

Yexi Susana Menard

  • Family Nurse Practitioner
  • Charlton, MA
National Provider Identifier
1326772443
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2345259 Issued in MA
Practice address
142 Worcester Rd
Charlton, MA 01507-1244
Phone
(508) 389-2727
NPI assigned
Jul 13, 2022
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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 RN2345259 MA Primary

Addresses

Primary practice location

142 Worcester Rd
Charlton, MA 01507-1244

Mailing address

299 Stag Head Dr
Pascoag, RI 02859-1306
Phone (401) 405-6915

Other practice location 1

299 Staghead Dr
Pascoag, RI 02859-1306
Phone (401) 405-6915

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
I20250124001758 MA Practitioner - Nurse Practitioner 9032648712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Massachusetts, LLCGroup PAC ID 2264594944, 106 clinicians

Practice addresses (Care Compare)

142 Worcester Rd
Charlton, MA 01507-1244
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2345259MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Massachusetts LLC Family CurrentSince Jan 2, 2025 Accepting new patients

Locations

270 Grove St
Braintree, MA 02184
Phone (781) 356-0714

142 Worcester Rd
Charlton, MA 01507
Phone (508) 248-5473

311 Newbury St
Danvers, MA 01923
Phone (978) 605-0100

104 Worcester St
North Grafton, MA 01536
Phone (508) 839-2240

1025 Central St
Stoughton, MA 02072
Phone 7813416114 ext. 8221

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1326772443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 STAG HEAD DR",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "028591306",
            "telephone_number": "401-405-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 WORCESTER RD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015071244",
            "telephone_number": "508-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 Staghead Dr",
            "address_purpose": "LOCATION",
            "city": "Pascoag",
            "state": "RI",
            "postal_code": "028591306",
            "country_code": "US",
            "telephone_number": "401-405-6915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENARD",
        "first_name": "YEXI",
        "middle_name": "SUSANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2345259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlton, MA

Sources for this page

Verify at the official NPI Registry.