Individual provider Active NPI

Stephanie M Bryson, NP

  • Family Nurse Practitioner
  • Waltham, MA
National Provider Identifier
1659915064
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2291472 Issued in MA
Practice address
21 Fuller St Apt 1
Waltham, MA 02453-5082
Phone
(857) 247-6660
NPI assigned
Oct 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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 RN2291472 MA Primary

Addresses

Primary practice location

21 Fuller St Apt 1
Waltham, MA 02453-5082

Mailing address

21 Fuller St Apt 1
Waltham, MA 02453-5082
Phone (857) 247-6660

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
I20200324001051 MA Practitioner - Nurse Practitioner 8628406782 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carewell Urgent Care Centers of Ma, PCGroup PAC ID 7618124470, 48 clinicians

Practice addresses (Care Compare)

922 Highland Ave
Needham, MA 02494-1256
Phone (781) 400-1383

Hospital & facility affiliations

  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2291472MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Feb 4, 2020 Accepting new patients
Carewell Urgent Care Centers of Ma, P.C Current Accepting new patients
Urgent Care Centers of Central Massachusetts, LLC CurrentSince Apr 24, 2024 Accepting new patients
Urgent Care Centers of Central Massachusetts, LLC CurrentSince Apr 24, 2024 Accepting new patients
Urgent Care Centers of Central Massachusetts, LLC Current Accepting new patients
Carewell Urgent Care Centers of Ma, P.C CurrentSince Apr 24, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 4, 2020 Accepting new patients
Carewell Urgent Care Centers of Ma, PC CurrentSince Apr 24, 2024 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

757 Boston Post Rd E
Marlborough, MA 01752
Phone (508) 630-8989

922 Highland Ave
Needham, MA 02494
Phone (781) 400-1383

229 Andover St
Peabody, MA 01960
Phone (978) 532-2453

484 Route 134
South Dennis, MA 02660
Phone (508) 694-7901

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

348 Greenwood St
Worcester, MA 01607
Phone (508) 752-1911

500 Lincoln St
Worcester, MA 01605
Phone (617) 302-4194

Organizations & group practices 8

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": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1659915064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 FULLER ST APT 1",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535082",
            "telephone_number": "857-247-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 FULLER ST APT 1",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535082",
            "telephone_number": "857-247-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2291472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.