Individual provider Active NPI

Meghan C Marino, NP

  • Primary Care Nurse Practitioner
  • Wellesley, MA
National Provider Identifier
1578160644
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2312887 Issued in MA
Practice address
873 Worcester St
Wellesley, MA 02482-3714
Phone
(508) 665-6261
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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 RN2312887 MA Primary

Addresses

Primary practice location

873 Worcester St
Wellesley, MA 02482-3714

Mailing address

171 Main St Ste 203B
Ashland, MA 01721-1187
Phone (508) 881-3029

Other identifiers 1

IdentifierTypeStateIssuer
110166715AMedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Marino.Meghan.CRM@direct.partners.masshiway.net

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
I20201207001957 MA Practitioner - Nurse Practitioner 7517379035 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

873 Worcester St
Suite 3
Wellesley, MA 02482-3714
Phone (781) 591-3514

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Dec 20, 2024 Accepting new patients
Charles River Medical Associates PC CurrentSince Dec 1, 2020 Accepting new patients
Charles River Medical Associates PC CurrentSince Dec 1, 2020 Accepting new patients

Locations

171 Main St
Ste 203B
Ashland, MA 01721
Phone (508) 881-3029

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

600 Worcester Rd
Ste 504
Framingham, MA 01702
Phone (508) 875-0922

873 Worcester St
Ste 3
Wellesley, MA 02482
Phone (508) 907-6063

Interoperability endpoints

  • Direct secure messaging: marino.meghan.crm@direct.partners.masshiway.net

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 6

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": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1578160644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN ST STE 203B",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211187",
            "telephone_number": "508-881-3029",
            "fax_number": "508-881-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024823714",
            "telephone_number": "508-665-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "MEGHAN",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2312887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110166715A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Marino.Meghan.CRM@direct.partners.masshiway.net",
            "affiliation": "N",
            "address_1": "873 Worcester St",
            "city": "Wellesley",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024823714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.