Individual provider Active NPI

Ashley M. Mongeon, RN

  • Nurse Practitioner
  • Boston, MA
National Provider Identifier
1437882867
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2304511 Issued in MA
Practice address
12 Princeton St Apt 1
Boston, MA 02128-3488
Phone
(508) 344-2283
NPI assigned
Jul 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2304511 MA
Nurse Practitioner 363L00000X RN2304511 MA Primary

Addresses

Primary practice location

12 Princeton St Apt 1
Boston, MA 02128-3488

Mailing address

12 Princeton St Apt 1
Boston, MA 02128-3488
Phone (508) 344-2283

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
I20240116004596 MA Practitioner - Nurse Practitioner 8325490246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care Dimensions IncGroup PAC ID 7214924554, 16 clinicians

Practice addresses (Care Compare)

75 Sylvan St
Suite B102
Danvers, MA 01923-2764
Phone (978) 774-7566

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Wilmington, MA, CCN 227576
  • Enhabit Home Health Home health agency, Andover, MA, CCN 227500
  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2304511MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Dimensions, Inc. CurrentSince Dec 5, 2023 Accepting new patients
Care Dimensions, Inc. Current Accepting new patients

Locations

75 Sylvan St
Ste B102
Danvers, MA 01923
Phone (888) 283-1722

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/caredimensions

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.

Hospital & facility affiliations 6

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": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1437882867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PRINCETON ST APT 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021283488",
            "telephone_number": "508-344-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PRINCETON ST APT 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021283488",
            "telephone_number": "508-344-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGEON",
        "first_name": "ASHLEY",
        "middle_name": "M.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-04",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2304511",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2304511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.