Individual provider Active NPI

Marie Anne Raymond, PA-C

  • Physician Assistant
  • Worcester, MA
National Provider Identifier
1659527851
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
AP2571 Issued in MA
Practice address
119 Belmont St
Jaquith Building, LL2, Pse
Worcester, MA 01605-2903
Phone
(508) 334-5603
NPI assigned
Aug 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AP2571 MA Primary

Addresses

Primary practice location

119 Belmont St
Jaquith Building, LL2, Pse
Worcester, MA 01605-2903

Mailing address

55 Lake Ave N
Room H-2 470, Critical Care Operations
Worcester, MA 01655-0002
Phone (508) 334-0042

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
I20081101000077 MA Practitioner - Physician Assistant 7416016779 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
AP2571MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Center, Inc. CurrentSince Sep 16, 2023 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Sep 2, 2008 Accepting new patients
Umass Memorial Medical Center, Inc CurrentSince Sep 16, 2023 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince May 21, 2016 Accepting new patients

Locations

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

40 Wright St
Palmer, MA 01069
Phone (413) 284-5210

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

119 Belmont St
Bldg LL2
Worcester, MA 01605
Phone (508) 334-5603

55 Lake Ave N
Rm H2
Worcester, MA 01655

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1659527851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "ROOM H-2 470, CRITICAL CARE OPERATIONS",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BELMONT ST",
            "address_2": "JAQUITH BUILDING, LL2, PSE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052903",
            "telephone_number": "508-334-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "MARIE",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "AP2571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.