Keren Rachel Pultman, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2298447 Issued in MA

Practice address

29 Deer Path LN
Weston, MA 02493-1139

Phone

(781) 642-1912

NPI assigned

Jun 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caretenders Home health agency, Needham Heights, MA, CCN 227269
• The Miriam Hospital Hospital, Providence, RI, CCN 410012
• Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
• Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Comprehensive Rehab Consultants PLLC

  dba Comprehensive Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771

  Family, MA

  Medicare reassignment Care Compare group NPD
• Ajay Anand MD PC

  • Internal Medicine Physician
  • Weston, MA
  • NPI 1558403154
  Medicare reassignment NPD
• Kronos Health PLLC

  • Family Medicine Physician
  • Acton, MA
  • NPI 1053777839
  Medicare reassignment
• Sturdy Health Inc

  dba Attleboro Medical Associates

  • Internal Medicine Physician
  • Attleboro, MA
  • NPI 1306875166
  NPD
• Sturdy Health, Inc.

  • Internal Medicine Physician
  • Mansfield, MA
  • NPI 1871515874
  NPD
• Ajay Anand MD PC

  • Nursing Facility/Intermediate Care Facility
  • Weston, MA
  • NPI 1376093260
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Caretenders VS of Boston, LLC

  dba Caretenders

  • Home Health Agency
  • Needham Heights, MA
  • NPI 1396929048
  Care Compare affiliation
• Newton-Wellesley Hospital

  • General Acute Care Hospital
  • Newton, MA
  • NPI 1992737761
  Care Compare affiliation
• Sturdy Memorial Hospital Inc

  • General Acute Care Hospital
  • Attleboro, MA
  • NPI 1730106162
  Care Compare affiliation
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1780105791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 EAST ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020263019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 DEER PATH LN",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931139",
            "telephone_number": "781-642-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULTMAN",
        "first_name": "KEREN",
        "middle_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2298447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cluzie Pierre
• Kenia Ann Tracey Pierssaint
• Jan Louise Plager
• Polonsky-Ragovin PC
• Anandi Pratap, DMD
• Diamond Quarles
• Cathie S Ragovin, M.D.
• Mama Elisa Reeves
• Regis College
• Regis College

• Family Nurse Practitioner in Weston, MA
• Providers in Weston, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.

Verify at the official NPI Registry.