Individual provider Active NPI

Emma Nancy Ross, FNP-BC

  • Family Nurse Practitioner
  • Waltham, MA
National Provider Identifier
1740028661
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2369741 Issued in MA
Practice address
43 Foundry Ave
Waltham, MA 02453-8313
Phone
(781) 693-3800
NPI assigned
Jul 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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 RN2369741 MA Primary

Addresses

Primary practice location

43 Foundry Ave
Waltham, MA 02453-8313

Mailing address

224 Linwood Ave
Newtonville, MA 02460-1459
Phone (617) 599-9072

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
I20241122001563 MA Practitioner - Nurse Practitioner 3678008927

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

43 Foundry Ave
Suite 110
Waltham, MA 02453-8313
Phone (781) 693-3800

495 Western Ave
Brighton, MA 02135-1007
Phone (617) 783-0500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles River Community Health, Inc CurrentSince Sep 13, 2024 Accepting new patients
Charles River Community Health Inc Current Accepting new patients
KDP Management Services PLLC Past Accepting new patients

Locations

495 Western Ave
Brighton, MA 02135

43 Foundry Ave
Ste 110
Waltham, MA 02453
Phone (781) 693-3800

Interoperability endpoints

  • Direct secure messaging: eross33817@direct.ctc.masshiway.net

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.

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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1740028661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 LINWOOD AVE",
            "city": "NEWTONVILLE",
            "state": "MA",
            "postal_code": "024601459",
            "telephone_number": "617-599-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 FOUNDRY AVE",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024538313",
            "telephone_number": "781-693-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "EMMA",
        "middle_name": "NANCY",
        "name_prefix": "Miss",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2369741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.