Individual provider Active NPI

Marie Danielle Monestime, NURSE PRACTITIONER

  • Internal Medicine Physician
  • Randolph, MA
National Provider Identifier
1407718398
Registry record updated Nov 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AG11250041 Issued in MA
Practice address
36 Fernandez Cir
Randolph, MA 02368-4906
Phone
(347) 447-2326
NPI assigned
Nov 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AG11250041 MA
Internal Medicine Physician 207R00000X AG11250041 MA Primary
Gerontology Nurse Practitioner 363LG0600X AG11250041 MA

Addresses

Primary practice location

36 Fernandez Cir
Randolph, MA 02368-4906

Mailing address

36 Fernandez Cir
Randolph, MA 02368-4906
Phone (347) 447-2326

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
I20260224003502 MA Practitioner - Nurse Practitioner 8628559044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Perfect Health PCGroup PAC ID 0648496414, 13 clinicians

Practice addresses (Care Compare)

100 Cambridge St
FL 14
Boston, MA 02114-2509
Phone (888) 553-2823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AG11250041MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Health PC Internal Medicine CurrentSince Jan 16, 2026 Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764374400000",
    "number": "1407718398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 FERNANDEZ CIR",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684906",
            "telephone_number": "347-447-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 FERNANDEZ CIR",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684906",
            "telephone_number": "347-447-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONESTIME",
        "first_name": "MARIE",
        "middle_name": "DANIELLE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-29",
        "last_updated": "2025-11-29",
        "certification_date": "2025-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "AG11250041",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "AG11250041",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "AG11250041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

Verify at the official NPI Registry.