Individual provider Active NPI

Alexandra K Weinstein, FNP-C

  • Family Nurse Practitioner
  • Duxbury, MA
National Provider Identifier
1679249957
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2314741 Issued in MA
Practice address
308 Kingstown Way
Duxbury, MA 02332-4647
Phone
(781) 585-5561
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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 RN2314741 MA Primary

Addresses

Primary practice location

308 Kingstown Way
Duxbury, MA 02332-4647

Mailing address

15 Old West Elm St
Pembroke, MA 02359-1731
Phone (781) 924-5980

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
I20210927002284 MA Practitioner - Nurse Practitioner 1759788276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pembroke Medical Associates IncGroup PAC ID 3678992955, 26 clinicians

Practice addresses (Care Compare)

15 Old W Elm St
Pembroke, MA 02359-1731
Phone (781) 202-9292

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2314741MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant Ma PC CurrentSince Nov 27, 2023 Accepting new patients

Locations

111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200

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.

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1679249957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OLD WEST ELM ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591731",
            "telephone_number": "781-924-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 KINGSTOWN WAY",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324647",
            "telephone_number": "781-585-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "ALEXANDRA",
        "middle_name": "K",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2314741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

Sources for this page

Verify at the official NPI Registry.