Individual provider Active NPI

Marrina Lee Rose, RN, CNM

  • Advanced Practice Midwife
  • Beverly, MA
National Provider Identifier
1497489140
Registry record updated Jul 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
83 Herrick St Ste 2004
Beverly, MA 01915-2757
Phone
(978) 927-4800
NPI assigned
Jul 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

83 Herrick St Ste 2004
Beverly, MA 01915-2757

Mailing address

20 Line Rd Unit 1
Wakefield, MA 01880-1066
Phone (413) 531-2295

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124001451 MA Practitioner - Certified Nurse Midwife (CNM) 1557732815 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Essex County OBGYN Assoc Inc CurrentSince Oct 13, 2022 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients

Locations

83 Herrick St
Ste 2004
Beverly, MA 01915
Phone (978) 927-4800

83 Herrick St
Ste 3002
Beverly, MA 01915
Phone (978) 750-8300

480 Maple St
Ste 303
Danvers, MA 01923

140 Commonwealth Ave
Ste 208
Danvers, MA 01923
Phone (978) 232-5538

62 Brown St
Haverhill, MA 01830
Phone (978) 521-6555

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.

NPI Registry JSON

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

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1497489140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LINE RD UNIT 1",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801066",
            "telephone_number": "413-531-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HERRICK ST STE 2004",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152757",
            "telephone_number": "978-927-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MARRINA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RN, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-10",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.