Active NPI
Ryan McGovern, FNP-BC
- Family Nurse Practitioner
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2299435
- Practice address
- 75 Mount Auburn St
Cambridge, MA 02138-4960 - Phone
- (617) 495-5711
- NPI assigned
- Jul 7, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN01409 | RI | |
| Family Nurse Practitioner | 363LF0000X | RN2299435 | MA | Primary |
Addresses
Primary practice location
75 Mount Auburn St
Cambridge, MA 02138-4960
Mailing address
75 Mount Auburn St
Cambridge, MA 02138-4960
Phone (617) 495-5711
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
112 Worcester St
Suite 303
Wellesley, MA 02481-3632
Phone (617) 916-9433
Hospital & facility affiliations
- Newton-Wellesley Hospital
- Brigham and Women'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2299435 | MA | MD | Family Nurse Practitioner |
| APRN01409 | RI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| President and Fellows of Harvard College | Current | Accepting new patients | |
| President & Fellows of Harvard College | Current | Accepting new patients | |
| Milford Regional Physician Group, Inc. | Current | Accepting new patients | |
| Lifestyle Medical and Cardiovascular Associates PC | Current | Accepting new patients | |
| Milford Regional Physician Group, Inc. | Current | Accepting new patients | |
| C&S Anesthesia LLC | Past | Accepting new patients |
Locations
188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434
75 Mount Auburn St
Cambridge, MA 02138
Phone (617) 495-2042
75 Mount Auburn St
#H
Cambridge, MA 02138
Phone (617) 495-4414
1280 W Central St
Ste 101
Franklin, MA 02038
Phone (508) 471-1480
68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020
9 Industrial Rd
Ste 5
Milford, MA 01757
Phone (508) 473-1480
100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338
100 Commerce Dr
Northbridge, MA 01534
Phone (508) 234-6311
112 Worcester St
Ste 303
Wellesley Hills, MA 02481
Phone (617) 916-9433
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.
-
- Cardiovascular Disease Physician
- Chestnut Hill, MA
- NPI 1396356556
-
- Internal Medicine Physician
- Milford, MA
- NPI 1902856024
-
- Multi-Specialty Clinic/Center
- Cambridge, MA
- NPI 1952366312
-
- Sports Medicine (Family Medicine) Physician
- Medway, MA
- NPI 1508681321
-
- General Practice Dentistry
- Boston, MA
- NPI 1972761807
-
- Anesthesiology Physician
- Franklin, MA
- NPI 1396241519
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1679925291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 MOUNT AUBURN ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384960",
"telephone_number": "617-495-5711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 MOUNT AUBURN ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384960",
"telephone_number": "617-495-5711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOVERN",
"first_name": "RYAN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-07",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN01409",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2299435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.