Marina N Chernova, NP
Individual provider Active NPI Acute Care Nurse Practitioner · Norwood, MA
NPI 1689851859 · NPPES record last updated Nov 12, 2009
Key facts
- NPI
- 1689851859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 266674 (MA)
- Practice address
- 800 Washington St
Norwood, MA 02062 - Phone
- (617) 667-2900
- Fax
- (617) 667-9711
- NPI assigned
- Jan 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Lifespan Physician Group of Massachusetts Inc
Practice addresses (Care Compare)
88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000
Hospital & facility affiliations
- Brown University Health Morton Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080331000096 | MA | Practitioner - Nurse Practitioner | 3779669866 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266674 | MA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Massachusetts Inc | Current |
Accepting new patients | |
| Lifespan Physician Group of Massachusetts Inc | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Sound Physicians of Massachusetts, Inc | Current |
Accepting new patients | |
| Sound Physicians of Massachusetts II PC | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Sound Physicians of Massachusetts Inc | Current | Accepting new patients |
Locations
200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000
11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782
77 Warren St
Brighton, MA 02135
Phone (617) 254-1271
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255
800 Washington St
Norwood, MA 02062
Phone (781) 278-6264
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
40 Spring St
Watertown, MA 02472
Phone (617) 923-8433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 266674 | MA | Yes |
Addresses
Primary practice location
800 Washington St
Norwood, MA 02062
Mailing address
77 Warren St
Brighton, MA 02135-3601
Phone (617) 983-9209
Other providers in Norwood, MA
- Kristin Chase
- Sharon A Chatterton
- Waqar Ahmed Cheema
- Alice S Chen
- Elizabeth Cherchia
- Caitlynn Mae Chesbrough
- Nicole Chester
- Child and Family Psychological Services, PLLC
- Rachel Molly Child
- Dianne I. Chilingerian
All providers in Norwood, MA · Acute Care Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.