Individual provider Active NPI

Mary Ellen Puopolo, FNP-C

  • Family Nurse Practitioner
  • Medway, MA
National Provider Identifier
1366954729
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN278211 Issued in MA
Practice address
68A Main St Ste 103
Medway, MA 02053-1775
Phone
(508) 321-2845
Fax
(508) 321-2848
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN278211 MA
Family Nurse Practitioner 363LF0000X RN278211 MA Primary

Addresses

Primary practice location

68A Main St Ste 103
Medway, MA 02053-1775

Mailing address

9 Industrial Rd Ste 5
Milford, MA 01757-3736
Phone (508) 473-1480

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
I20180612003220 MA Practitioner - Nurse Practitioner 4688929847 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sturdy Memorial Hospital IncGroup PAC ID 4981653789, 39 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

211 Park St
Attleboro, MA 02703-3143
Phone (508) 236-8110

68 A Main St
Suite 103
Medway, MA 02053-1775
Phone (508) 321-2845

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.49 of 100Reported as group
Quality
69.5
Promoting interoperability
100
Improvement activities
40
Cost
72.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Regional Physician Group, Inc. CurrentSince Oct 7, 2024 Accepting new patients
Sturdy Health Inc CurrentSince Mar 10, 2023 Accepting new patients
Umass Memorial Medical Group Inc Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Sturdy Health, Inc. CurrentSince Mar 10, 2023 Accepting new patients
Sturdy Memorial Hospital Inc CurrentSince Jan 2, 2019 Accepting new patients
Milford Regional Physician Group, Inc. CurrentSince Oct 7, 2024 Accepting new patients
Steward Emergency Physicians, Inc CurrentSince Oct 4, 2019 Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

68A Main St
Ste 103
Medway, MA 02053
Phone (508) 321-2845

68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020

9 Industrial Rd
Ste 5
Milford, MA 01757
Phone (508) 473-1480

129 S Main St
Milford, MA 01757
Phone (774) 462-3339

100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

60 Messenger St
Plainville, MA 02762
Phone (508) 695-0055

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: puopolo.maryellen.mrmc@direct.partners.masshiway.net

Organizations & group practices 8

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 2

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": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1366954729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 INDUSTRIAL RD STE 5",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573736",
            "telephone_number": "508-473-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68A MAIN ST STE 103",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531775",
            "telephone_number": "508-321-2845",
            "fax_number": "508-321-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUOPOLO",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN278211",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN278211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medway, MA

Sources for this page

Verify at the official NPI Registry.