Individual provider Active NPI

Debra L Levine, NP

  • Nurse Practitioner
  • Natick, MA
National Provider Identifier
1669449732
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
247231 Issued in MA
Practice address
67 Union Street
Metrowest Medical Center
Natick, MA 01760-6776
Phone
(508) 650-7000
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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 247231 MA Primary

Addresses

Primary practice location

67 Union Street
Metrowest Medical Center
Natick, MA 01760-6776

Mailing address

65 Half Crown Cir
Ashland, MA 01721-3922
Phone (508) 881-2887

Other identifiers 4

IdentifierTypeStateIssuer
91288OtherMAFALLON
NP4787OtherMABLUE CROSS SHIELD
0700932MedicaidMA
9353597OtherMAPHCS

Other names 1

  • Mrs. Debra Lynn Levine-Smith Other name

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
I20041029000422 MA Practitioner - Nurse Practitioner 1052373388 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247231MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emerson Practice Associates, Inc. Nurse Practitioner CurrentSince Jul 21, 2020 Accepting new patients

Locations

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

1153 Centre St
Ste 5C
Jamaica Plain, MA 02130
Phone (617) 522-1734

Organizations & group practices 2

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1669449732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HALF CROWN CIR",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017213922",
            "telephone_number": "508-881-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 UNION STREET",
            "address_2": "METROWEST MEDICAL CENTER",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017606776",
            "telephone_number": "508-650-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "DEBRA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "247231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "91288",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SHIELD",
            "identifier": "NP4787",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0700932",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9353597",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "LEVINE-SMITH",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.