Individual provider Active NPI

Marianne Wierzbinski, RN/NP

  • Adult Health Nurse Practitioner
  • Orleans, MA
National Provider Identifier
1659508414
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN186467 Issued in MA
Practice address
107 Rock Harbor Rd
Orleans, MA 02653-2309
Phone
(508) 255-6297
Fax
(774) 316-4180
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN186467 MA Primary

Addresses

Primary practice location

107 Rock Harbor Rd
Orleans, MA 02653-2309

Mailing address

PO Box 483
Orleans, MA 02653-0483
Phone (508) 255-6297

Other identifiers 1

IdentifierTypeStateIssuer
110037835AMedicaidMA

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
I20150416000906 MA Practitioner - Nurse Practitioner 0749422939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rock Harbor Health LLCGroup PAC ID 4284934787, 2 clinicians

Practice addresses (Care Compare)

107 Rock Harbor Rd
Orleans, MA 02653-2309
Phone (508) 255-6297

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN186467MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Harbor Health LLC CurrentSince Dec 1, 2015 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11205/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marianne.wierzbinski.1@11205.direct.athenahealth.com

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 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": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1659508414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 483",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026530483",
            "telephone_number": "508-255-6297",
            "fax_number": "774-316-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ROCK HARBOR RD",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026532309",
            "telephone_number": "508-255-6297",
            "fax_number": "774-316-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERZBINSKI",
        "first_name": "MARIANNE",
        "credential": "RN/NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN186467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110037835A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orleans, MA

Sources for this page

Verify at the official NPI Registry.