Individual provider Active NPI

Cherlie Magny-Normilus, PHD, FNP-BC

  • Family Nurse Practitioner
  • Allston, MA
National Provider Identifier
1538446992
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
252125 Issued in MA
Practice address
100 N Beacon St
Allston, MA 02134-1928
Phone
(617) 726-9700
Fax
(617) 726-9711
NPI assigned
Nov 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 252125 MA Primary

Addresses

Primary practice location

100 N Beacon St
Allston, MA 02134-1928

Mailing address

100 N Beacon St
Allston, MA 02134-1928
Phone (617) 726-9700

Other practice location 1

1620 Tremont St
Roxbury Crossing, MA 02120-1613
Phone (617) 732-6201

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
I20141006000592 MA Practitioner - Nurse Practitioner 5294955795 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
252125MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince May 31, 2017 Accepting new patients
The General Hospital Corporation CurrentSince May 31, 2017 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

100 North Beacon St
Boston, MA 02134
Phone (617) 726-9700

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

75 Francis St
Boston, MA 02115

Interoperability endpoints

  • Direct secure messaging: magny-normilus.cherlie.srb@direct.partners.masshiway.net

Organizations & group practices 4

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": "1321056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1538446992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BEACON ST",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341928",
            "telephone_number": "617-726-9700",
            "fax_number": "617-726-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BEACON ST",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341928",
            "telephone_number": "617-726-9700",
            "fax_number": "617-726-9711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 Tremont St",
            "address_purpose": "LOCATION",
            "city": "Roxbury Crossing",
            "state": "MA",
            "postal_code": "021201613",
            "country_code": "US",
            "telephone_number": "617-732-6201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNY-NORMILUS",
        "first_name": "CHERLIE",
        "name_prefix": "Mrs.",
        "credential": "PHD, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-12",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "252125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allston, MA

Sources for this page

Verify at the official NPI Registry.