Active NPI
Margery Walentuk
- Psychiatric/Mental Health Nurse Practitioner
- Lynn, MA
National Provider Identifier
1720488778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN217947
- Practice address
- 269 Union St
Lynn, MA 01901-1314 - Phone
- (978) 581-3900
- NPI assigned
- Aug 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN217947 | MA | Primary |
Addresses
Primary practice location
269 Union St
Lynn, MA 01901-1314
Mailing address
24 Warren St
Newburyport, MA 01950-2232
Phone (978) 609-1681
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151022001110 | MA | Practitioner - Nurse Practitioner | 5092024612 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bridgewell, Inc
Practice addresses (Care Compare)
35 Market St
Suite 2
Lowell, MA 01852-6246
Phone (978) 459-0389
Hospital & facility affiliations
- Anna Jaques Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charitable Bureau of the Archdiocesse of Boston, Inc. Dba | Current | Accepting new patients | |
| Bridgewell, Inc | Current | Accepting new patients | |
| Catholic Charitable Bureau of the Archdiocese of Boston, Inc. | Current | Accepting new patients |
Locations
35 Market St
Ste 2
Lowell, MA 01852
Phone (978) 459-0389
280 Washington St
Salem, MA 01970
Phone (978) 740-6923
275 W Broadway
South Boston, MA 02127
Phone (617) 268-9670
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- South Boston, MA
- NPI 1003979014
MA
-
- Home Health Agency
- South Boston, MA
- NPI 1093723652
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": "1409097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1720488778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 WARREN ST",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019502232",
"telephone_number": "978-609-1681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 UNION ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019011314",
"telephone_number": "978-581-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALENTUK",
"first_name": "MARGERY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-27",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN217947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.