Individual provider Active NPI

Madison Rae Dewolfe, RN

  • Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1376287227
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2316982 Issued in MA
Practice address
67 Millbrook St
Worcester, MA 01606-2835
Phone
(508) 283-4513
Fax
(508) 469-4057
NPI assigned
Apr 26, 2022
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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 RN2316982 MA Primary
Registered Nurse 163W00000X RN2316982 MA

Addresses

Primary practice location

67 Millbrook St
Worcester, MA 01606-2835

Mailing address

67 Millbrook St Ste 406a
Worcester, MA 01606-2845
Phone (508) 283-4513

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
I20221110001604 MA Practitioner - Nurse Practitioner 7911374566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Massachusetts LLCGroup PAC ID 4688967763, 85 clinicians
CH Specialty Services Ma PCGroup PAC ID 9931571437, 87 clinicians

Practice addresses (Care Compare)

819 Worcester St
Suite 1
Springfield, MA 01151-1056
Phone (413) 604-5201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2316982MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Massachusetts LLC CurrentSince Dec 17, 2024 Accepting new patients
Integral Health Partners LLC Nurse Practitioner CurrentSince Oct 1, 2022 Accepting new patients
CH Specialty Services Ma PC CurrentSince Dec 17, 2024 Accepting new patients

Locations

819 Worcester St
Ste 1
Springfield, MA 01151
Phone (337) 408-0805

67 Millbrook St
Ste 406A
Worcester, MA 01606
Phone (508) 283-4513

67 Millbrook St
Ste 406B
Worcester, MA 01606
Phone (413) 512-1529

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, 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": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1376287227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MILLBROOK ST STE 406A",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062845",
            "telephone_number": "508-283-4513",
            "fax_number": "508-469-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MILLBROOK ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062835",
            "telephone_number": "508-283-4513",
            "fax_number": "508-469-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWOLFE",
        "first_name": "MADISON",
        "middle_name": "RAE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2316982",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2316982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.