Individual provider Active NPI

Donna M. Cullinan, NP

  • Nurse Practitioner
  • Milton, MA
National Provider Identifier
1407076417
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
134138 Issued in MA
Practice address
100 Highland Street
Suite 209
Milton, MA 02186
Phone
(617) 696-4600
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 134138 MA Primary

Addresses

Primary practice location

100 Highland Street
Suite 209
Milton, MA 02186

Mailing address

103 Great Plain Avenue
Wellesly, MA 02482
Phone (781) 239-3286

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
I20070625000214 MA Practitioner - Nurse Practitioner 9032218508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

100 Highland St
104 Beth Israel Deaconess Health Care Milto
Milton, MA 02186-3884
Phone (617) 696-0022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134138MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Internal Medicine Associates Inc. CurrentSince Apr 1, 2010 Accepting new patients
Medical Care of Boston Management Corporation CurrentSince Mar 1, 2024 Accepting new patients

Locations

100 Highland St
Ste 300
Milton, MA 02186
Phone (617) 698-8855

100 Highland St
Ste 104
Milton, MA 02186
Phone (617) 696-0022

100 Highland St
Ste 209
Milton, MA 02186
Phone (617) 696-0302

100 Highland St
Milton, MA 02186
Phone (617) 615-4000

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407076417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 GREAT PLAIN AVENUE",
            "city": "WELLESLY",
            "state": "MA",
            "postal_code": "02482",
            "telephone_number": "781-239-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND STREET",
            "address_2": "SUITE 209",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "02186",
            "telephone_number": "617-696-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLINAN",
        "first_name": "DONNA",
        "middle_name": "M.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "134138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

Verify at the official NPI Registry.