Maryanne O'Toole, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Provincetown, MA
NPI 1376623645 · NPPES record last updated Dec 8, 2011
Key facts
- NPI
- 1376623645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 190922 (MA)
- Practice address
- 49 Harry Kemp Way
Provincetown, MA 02657 - Phone
- (508) 487-9395
- Fax
- (508) 487-3285
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Curana Health of Massachusetts LLC
Practice addresses (Care Compare)
819 Worcester St
Suite 1
Springfield, MA 01151-1056
Phone (413) 604-5201
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050627000280 | MA | Practitioner - Nurse Practitioner | 2264477645 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2441 | MA | MD | Athletic Trainer |
| 190922 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of Massachusetts LLC | Current |
Accepting new patients | |
| CH Specialty Services Ma PC | Current |
Accepting new patients | |
| Baystate Affiliated Practice Organization | Past | Accepting new patients | |
| Novus Healthcare Group, LLC | Past |
Accepting new patients |
Locations
819 Worcester St
Ste 1
Springfield, MA 01151
Phone (337) 408-0805
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 190922 | MA | Yes |
Addresses
Primary practice location
49 Harry Kemp Way
Provincetown, MA 02657
Mailing address
PO Box 1413
Wellfleet, MA 02667
Phone (508) 240-0208
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0710822 | Medicaid | MA | |
| NP0166 | Other | MA | CONNECTICARE |
| NP0166 | Other | MA | BLUE CROSS |
Other providers in Provincetown, MA
- Nathan Adam Molina
- Lucia Munson
- Teresa Lynn Nezbeth
- Troy William Niezgoda
- Brian O'Malley
- Outer Cape Health Services Inc
- Outer Cape Health Services, Inc.
- Outer Cape Health Services, Inc.
- Outer Cape Health Services, Inc.
- Andrew K Palmer
All providers in Provincetown, MA · Adult Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.