Individual provider Active NPI

Nadege Tan, N.P.

  • Nurse Practitioner
  • Braintree, MA
National Provider Identifier
1760732127
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2258501 Issued in MA
Practice address
140 Wood Rd Ste 406
Braintree, MA 02184-2515
Phone
(857) 246-9393
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2258501 MA Primary

Addresses

Primary practice location

140 Wood Rd Ste 406
Braintree, MA 02184-2515

Mailing address

140 Wood Rd Ste 305
Braintree, MA 02184-2514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130624000424 MA Practitioner - Nurse Practitioner 0042459026 Reassigns benefits to 2 organizations
I20221123002108 NH Practitioner - Nurse Practitioner 0042459026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promed Preferred NH, PCGroup PAC ID 1557862448, 2 clinicians

Practice addresses (Care Compare)

1 Tara Blvd
Suite 200
Nashua, NH 03062-2809
Phone (845) 738-8770

140 Wood Rd
Suite 305
Braintree, MA 02184-2514
Phone (857) 246-9393

2 Priscilla Rd
Brighton, MA 02135-4007
Phone (845) 783-8770

Merit-based Incentive Payment System (MIPS)

Final score
22.73 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2258501MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Preferred Ma 3 PLLC CurrentSince Oct 21, 2025 Accepting new patients
Nyota Advanced Wound Care CurrentSince Sep 5, 2025 Accepting new patients
Promed Preferred NH, PC CurrentSince Jul 24, 2025 Accepting new patients

Locations

140 Wood Rd
Ste 305
Braintree, MA 02184
Phone (857) 246-9393

1 Tara Blvd
Ste 200
Nashua, NH 03062
Phone (603) 242-2296

329 S Oyster Bay Rd
Plainview, NY 11803
Phone (714) 452-1961

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1760732127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WOOD RD STE 305",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WOOD RD STE 406",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842515",
            "telephone_number": "857-246-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "NADEGE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2258501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.