Individual provider Active NPI

Melissa Hennessey Smith, NP

  • Nurse Practitioner
  • Marlborough, MA
National Provider Identifier
1548687403
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
269513 Issued in MA
Practice address
100 Locke Dr
Marlborough, MA 01752-7235
Phone
(508) 229-8390
NPI assigned
Mar 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 269513 MA Primary

Addresses

Primary practice location

100 Locke Dr
Marlborough, MA 01752-7235

Mailing address

15 Progress Way
Hanson, MA 02341-1290

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
I20140715001879 MA Practitioner - Nurse Practitioner 1052536695 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269513MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Medical Group, Inc Current Accepting new patients
Dana-Farber Cancer Institute, Inc. Current Accepting new patients
Pratt Medical Group, Inc CurrentSince Feb 1, 2021 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Totalcare Home Health of Massachusetts, LLC Past Accepting new patients
Care Alternatives of Massachusetts, LLC PastSince Sep 1, 2020 Accepting new patients
Pratt Medical Group, Inc Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

Interoperability endpoints

  • Direct secure messaging: mmsmith@directaddress.net
  • Direct secure messaging: smith.melissa.dfci@direct.partners.masshiway.net
  • Direct secure messaging: msmith10@directaddress.net

Organizations & group practices 8

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": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1548687403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PROGRESS WAY",
            "city": "HANSON",
            "state": "MA",
            "postal_code": "023411290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LOCKE DR",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017527235",
            "telephone_number": "508-229-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELISSA",
        "middle_name": "HENNESSEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "269513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.