Individual provider Active NPI

Mary K Decesare-Flaherty, NP.C

  • Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1629357900
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2262890 Issued in MA
Practice address
25 Oak Ave
Worcester, MA 01605-2751
Phone
(507) 756-6293
Fax
(508) 756-9404
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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 RN2262890 MA Primary

Addresses

Primary practice location

25 Oak Ave
Worcester, MA 01605-2751

Mailing address

25 Oak Ave
Worcester, MA 01605-2751
Phone (507) 756-6293

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
I20110912000514 MA Practitioner - Nurse Practitioner 8325219959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Worcester Urological Associates IncGroup PAC ID 1456323864, 3 clinicians

Practice addresses (Care Compare)

25 Oak Ave
Worcester, MA 01605-2751

Hospital & facility affiliations

  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Worcester Urological Associates Inc CurrentSince Aug 31, 2011 Accepting new patients

Locations

25 Oak Ave
Worcester, MA 01605
Phone (508) 421-2010

25 Oak Ave
Ste 2
Worcester, MA 01605
Phone (508) 756-6293

Organizations & group practices 1

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 1

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1629357900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OAK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052751",
            "telephone_number": "507-756-6293",
            "fax_number": "508-756-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OAK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052751",
            "telephone_number": "507-756-6293",
            "fax_number": "508-756-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECESARE-FLAHERTY",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "NP.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2262890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.