Active NPI
Debra Marino, NP
- Nurse Practitioner
- Andover, MA
National Provider Identifier
1548878960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN276845
- Practice address
- 46 Cutler Rd
Andover, MA 01810-3427 - Phone
- (617) 943-4106
- NPI assigned
- Jul 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN276845 | MA | Primary |
Addresses
Primary practice location
46 Cutler Rd
Andover, MA 01810-3427
Mailing address
17 Saint James Ave
Somerville, MA 02144-3124
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | debraannmarino@gmal.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210608003033 | MA | Practitioner - Nurse Practitioner | 0345640678 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc. | Current | Accepting new patients | |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Current | Accepting new patients | |
| Pentucket Medical Associates, LLC | Current | Accepting new patients |
Locations
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
Interoperability endpoints
- marino.debra.pma@direct.partners.masshiway.net
Organizations & group practices 9
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.
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- Internal Medicine Physician
- Haverhill, MA
- NPI 1891112637
MA
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
MA
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
-
- Clinical Medical Laboratory
- Haverhill, MA
- NPI 1659790905
-
- Internal Medicine Physician
- Westwood, MA
- NPI 1144707332
-
- Internal Medicine Physician
- Concord, MA
- NPI 1174545875
-
- Internal Medicine Physician
- Westford, MA
- NPI 1497216279
-
- Clinical Medical Laboratory
- Haverhill, MA
- NPI 1033066972
-
- Internal Medicine Physician
- Haverhill, MA
- NPI 1609872886
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mass General Brigham Medical Group Northern Massachusetts IncMass General Brigham Community Physicians Inc
Practice addresses (Care Compare)
1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950
500 Merrimack St
Lawrence, MA 01843-1981
Phone (978) 557-8900
Hospital & facility affiliations
- North Shore Medical Center -
- Merrimack Health Lawrence Hospital
- Massachusetts General Hospital
- Wentworth-Douglass Hospital
- Newton-Wellesley Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1548878960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 SAINT JAMES AVE",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021443124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 CUTLER RD",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018103427",
"telephone_number": "617-943-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "DEBRA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-22",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN276845",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "debraannmarino@gmal.com",
"affiliation": "N",
"address_1": "17 Saint James Ave",
"city": "Somerville",
"state": "MA",
"country_code": "US",
"postal_code": "021443124",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.