NPIMap

Individual provider Active NPI

Marianne T Longacre, DO

  • Family Medicine Physician
  • Westerly, RI
National Provider Identifier
1396776266
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO00537 Issued in RI
Practice address
45 Wells St Ste 201
Westerly, RI 02891-2927
Phone
(401) 637-7202
Fax
(860) 865-2393
NPI assigned
Jul 6, 2006
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO00537 RI Primary

Addresses

Primary practice location

45 Wells St Ste 201
Westerly, RI 02891-2927

Mailing address

45 Wells St Ste 201
Westerly, RI 02891-2927
Phone (401) 637-7202

Other identifiers 2

IdentifierTypeStateIssuer
1396776266MedicaidRI
1396776266MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101103000197 RI Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 3678767787 Reassigns benefits to 1 organization
Practice locations: South Kingstown, RI
I20181024001302 CT Practitioner - Osteopathic Manipulative Medicine 3678767787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

45 Wells St
Suite 201
Westerly, RI 02891-2927
Phone (401) 596-7736

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince May 1, 2017 Accepting new patients
L&M Physician Association, Inc Family Medicine Past Accepting new patients
Women's Health of Westerly, LLC PastSince May 1, 2017 Accepting new patients

Locations

226 Mill Hill Ave
Ste 3
Bridgeport, CT 06610
Phone (203) 384-3394

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

45 Wells St
Ste 104
Westerly, RI 02891
Phone (401) 315-5595

45 Wells St
Ste 201
Westerly, RI 02891
Phone (401) 637-7200

Interoperability endpoints

  • Direct secure messaging: mlongacre365938@direct.ynhh.org

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.

Hospital & facility affiliations 7

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1396776266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WELLS ST STE 201",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912927",
            "telephone_number": "401-637-7202",
            "fax_number": "860-865-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WELLS ST STE 201",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912927",
            "telephone_number": "401-637-7202",
            "fax_number": "860-865-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGACRE",
        "first_name": "MARIANNE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "DO00537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396776266",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396776266",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.