Individual provider Active NPI

Kate E. Mottau, NP

  • Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1376538611
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
211425 Issued in MA
Practice address
235 N Pearl St
Brockton, MA 02301-1794
Phone
(508) 427-3000
NPI assigned
Sep 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 211425 MA Primary

Addresses

Primary practice location

235 N Pearl St
Brockton, MA 02301-1794

Mailing address

PO Box 414402
Boston, MA 02241-0001
Phone (866) 898-7138

Other identifiers 2

IdentifierTypeStateIssuer
NP3822OtherMABCBS
0362450MedicaidMA

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
I20040123000842 MA Practitioner - Nurse Practitioner 2567364193 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Help Chelmsford PCGroup PAC ID 4284917170, 15 clinicians

Practice addresses (Care Compare)

45 Drum Hill Rd
Chelmsford, MA 01824-1503
Phone (978) 446-7515

485 Granite St
Braintree, MA 02184-3944
Phone (781) 848-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211425MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Help Chelmsford PC CurrentSince Apr 1, 2021 Accepting new patients
Steward Emergency Physicians, Inc CurrentSince Oct 1, 2011 Accepting new patients
South Shore Health Express, Inc Current Accepting new patients
Massachusetts Express Care PLLC CurrentSince Aug 1, 2016 Accepting new patients
Urgent Help Chelmsford PC CurrentSince Apr 1, 2021 Accepting new patients
South Shore Health Express, Inc CurrentSince Sep 1, 2018 Accepting new patients
South Shore Health Express, Inc CurrentSince Sep 1, 2018 Accepting new patients
Urgent Help Chelmsford PC Current Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients
Boston Emergency Physician Foundation, Inc. Past Accepting new patients
Bridgewater Goddard Park Medical Associates, Inc. Past Accepting new patients
Steward Medical Group, Inc Past Accepting new patients

Locations

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

8 Oak Park Dr
Bedford, MA 01730
Phone (781) 280-1527

485 Granite St
Braintree, MA 02184
Phone (781) 356-8477

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

45 Drum Hill Rd
Chelmsford, MA 01824
Phone (978) 446-7515

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

70 East St
Methuen, MA 01844
Phone (978) 682-1906

117 Old Church St
Pembroke, MA 02359
Phone (781) 626-5170

59 Long Pond Rd
Plymouth, MA 02360
Phone (781) 626-5180

119 Parkingway
Quincy, MA 02169
Phone (781) 626-5160

106 New State Hwy
Raynham, MA 02767
Phone (781) 626-5500

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

330 Washington St
Weymouth, MA 02188
Phone (781) 248-8962

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

Organizations & group practices 12

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1376538611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414402",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022410001",
            "telephone_number": "866-898-7138",
            "fax_number": "616-975-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011794",
            "telephone_number": "508-427-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTAU",
        "first_name": "KATE",
        "middle_name": "E.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "211425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NP3822",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0362450",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.