Individual provider Active NPI

Cynthia Burns Robertson, FNP

  • Primary Care Nurse Practitioner
  • Methuen, MA
National Provider Identifier
1467191601
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2326402 Issued in MA
Practice address
60 East St
Methuen, MA 01844-4500
Phone
(978) 689-0869
Fax
(978) 722-7972
NPI assigned
Jun 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN2326402 MA Primary

Addresses

Primary practice location

60 East St
Methuen, MA 01844-4500

Mailing address

8 Dexter St
Newburyport, MA 01950-2008
Phone (978) 590-9993

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 60eaststmethuenma01844 Health Information Exchange (HIE)

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
I20230127000326 MA Practitioner - Nurse Practitioner 3971974015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

62 Brown St
Suite 405
Haverhill, MA 01830-6790
Phone (978) 521-8377

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2326402MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Medical of Massachusetts, PC CurrentSince Oct 30, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 15, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 15, 2022 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

62 Brown St
Ste 405
Haverhill, MA 01830
Phone (978) 521-8377

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

60 East St
Methuen, MA 01844
Phone (978) 687-0151

60 East St
Ste 1400
Methuen, MA 01844
Phone (978) 689-0869

9 Galen St
Ste 155
Watertown, MA 02472
Phone (857) 304-2444

Interoperability endpoints

  • Direct secure messaging: cynthia.robertson.1@32866.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1467191601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DEXTER ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502008",
            "telephone_number": "978-590-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EAST ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444500",
            "telephone_number": "978-689-0869",
            "fax_number": "978-722-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "CYNTHIA",
        "middle_name": "BURNS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2326402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "60eaststmethuenma01844",
            "affiliation": "N",
            "endpointDescription": "primary care",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "60 east  st methuen ma 01844",
            "address_1": "60 East St",
            "city": "Methuen",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018444500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.