Individual provider Active NPI

Minna Wang, FNP-BC

  • Family Nurse Practitioner
  • Boston, MA
National Provider Identifier
1659080828
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2358513 Issued in MA
Practice address
725 Albany St Ste 7B
Shapiro BLDG.
Boston, MA 02118-3549
Phone
(617) 638-8456
Fax
(617) 638-8465
NPI assigned
Nov 16, 2022
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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 RN2358513 MA Primary

Addresses

Primary practice location

725 Albany St Ste 7B
Shapiro BLDG.
Boston, MA 02118-3549

Mailing address

960 Massachusetts Ave
FL 2
Boston, MA 02118-2690

Other practice location 1

139 Turnpike Rd
Westborough, MA 01581-2835
Phone (508) 882-7300

Other identifiers 1

IdentifierTypeStateIssuer
110199270AMedicaidMA

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
I20230110001016 MA Practitioner - Nurse Practitioner 1759751670 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950

71 Needham St
Newton, MA 02461-1663
Phone (857) 598-4460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2358513MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Oct 7, 2023 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Oct 7, 2023 Accepting new patients
Boston University Neurology Associates, Inc. CurrentSince Aug 13, 2023 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Jan 28, 2026 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Mar 29, 2024 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Mar 29, 2024 Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Mass General Brigham Urgent Care LLC Current Accepting new patients
Convenientmd LLC Past Accepting new patients
Convenientmd LLC Past Accepting new patients
Carecentral Urgent Care Medical Group PC Past Accepting new patients
Convenientmd - FFS UC LLC Past Accepting new patients

Locations

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

725 Albany St
Ste 7
Boston, MA 02118
Phone (617) 638-8456

725 Albany St
Ste 7B
Boston, MA 02118
Phone (617) 638-8456

960 Massachusetts Ave
Ste 2
Boston, MA 02118

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

236 Cochituate Rd
Framingham, MA 01701
Phone (774) 244-3227

71 Needham St
Newton, MA 02461
Phone (617) 712-2770

139 Turnpike Rd
Westborough, MA 01581
Phone (508) 882-7300

111 New Hampshire Ave
Portsmouth, NH 03801

111 New Hampshire Ave
Ste 2
Portsmouth, NH 03801
Phone (603) 319-4490

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Interoperability endpoints

  • Direct secure messaging: wang.minna.puc@direct.partners.masshiway.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1659080828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 ALBANY ST STE 7B",
            "address_2": "SHAPIRO BLDG.",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183549",
            "telephone_number": "617-638-8456",
            "fax_number": "617-638-8465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Turnpike Rd",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015812835",
            "country_code": "US",
            "telephone_number": "508-882-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "MINNA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2358513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110199270A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.