Individual provider Active NPI

Meredith Stanizzi, NP

  • Family Nurse Practitioner
  • Braintree, MA
National Provider Identifier
1720451016
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2265342 Issued in MA
Practice address
111 Grossman Drive
Braintree, MA 02184
Phone
(781) 849-1000
NPI assigned
Nov 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RN2265342 MA Primary

Addresses

Primary practice location

111 Grossman Drive
Braintree, MA 02184

Mailing address

111 Grossman
Braintree, MA 02184

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
I20160229001978 MA Practitioner - Nurse Practitioner 7416252457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

111 Grossman Dr
Braintree, MA 02184-4997
Phone (781) 849-1000

Hospital & facility affiliations

  • South Shore Visiting Nurse Association Home health agency, Rockland, MA, CCN 227082
  • Croi Health Home health agency, Norwell, MA, CCN 227241
  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Single Specialty CurrentSince Feb 1, 2016 Accepting new patients
Atrius Health, Inc. Single Specialty Current Accepting new patients
Atrius Health, Inc. Single Specialty CurrentSince Feb 1, 2016 Accepting new patients
Atrius Health, Inc. Single Specialty Past Accepting new patients

Locations

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

111 Grossman Dr
Braintree, MA 02184
Phone (781) 849-1000

Interoperability endpoints

  • Direct secure messaging: mstanizzinp165649@direct.atrius.masshiway.net

Organizations & group practices 4

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 4

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": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1720451016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GROSSMAN",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "02184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GROSSMAN DRIVE",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "02184",
            "telephone_number": "781-849-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANIZZI",
        "first_name": "MEREDITH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2265342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.