Active NPI
Margaret Lutz Abisla, N.P.
- Women's Health Nurse Practitioner
- Wareham, MA
National Provider Identifier
1396863205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 113883
- Practice address
- 13 Sawyer St
Wareham, MA 02571-2003 - Phone
- (508) 295-5197
- Fax
- (508) 291-0579
- NPI assigned
- Mar 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 113883 | MA | Primary |
Addresses
Primary practice location
13 Sawyer St
Wareham, MA 02571-2003
Mailing address
61 Punch Bowl Dr
Falmouth, MA 02540-2342
Phone (508) 457-1645
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0352781 | Medicaid | MA | |
| NP3201 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113883 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triad OB GYN PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/638/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Wareham, MA
- NPI 1538172705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396863205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 PUNCH BOWL DR",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "025402342",
"telephone_number": "508-457-1645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 SAWYER ST",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025712003",
"telephone_number": "508-295-5197",
"fax_number": "508-291-0579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABISLA",
"first_name": "MARGARET",
"middle_name": "LUTZ",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MA",
"license": "113883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0352781",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NP3201",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wareham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.